| NPI | 1427226125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ANN SCHMALTZ Practice Coordinator 701-255-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2009-06-25 |