| NPI | 1366543662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE MCEVILLY President/CEO 320-589-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 00653) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-10-04 |