| NPI | 1477638864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GILBERTSON Practice Manager 701-293-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-01-03 |