| NPI | 1457588360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA D. ZASTOUPIL Director Of Coding/Billing 701-323-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ND 449) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-22 |