NPI | 1366484404 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM HEEGAARD President 701-364-4554 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ND 35C1001023) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2022-10-25 |