| NPI | 1538219423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONORATO CRIS REMUCAL Physician 320-587-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 470) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |