| NPI | 1346914033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETS WERPY Authorized Official 701-491-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2025-10-03 |