| NPI | 1417604513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DUCHSCHERER Owner/Medical Director 701-318-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-09-20 |