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 |