NPI | 1386824357 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY JONES Medical Director 218-625-6715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 27729) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |