| NPI | 1366483968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY G SOLBERG Administrator Authorized Official 701-364-3405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-27 |