| NPI | 1366116287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WINANDY CEO 701-877-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-05-10 |