| NPI | 1467718064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARAD DOUGLAS RIPPERGER Manager 320-441-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MN 6586527) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2019-04-03 |