| NPI | 1457196685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 701-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-07-25 |