| NPI | 1376776500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS M KIRSCH Collections & Accounting Supervisor 320-864-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |