| NPI | 1346363264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY W. FRIESEN Owner 763-494-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 3157) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2008-07-08 |