| NPI | 1427123397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY JOHN LEE Owner 701-232-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 7790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 41391) |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2008-02-20 |