| NPI | 1366657025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM CULLEN Certified Athletic Trainer 218-631-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MN 1566) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-01-29 |