| NPI | 1437499019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN S COLBURN Owner 218-640-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN R1769683) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: MN R1769683) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |