| NPI | 1366992323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY KAYE RATH Family Nurse Practitioner 701-475-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ND R28545) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-02-01 |