| NPI | 1538558077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE GREG SWENSON President 320-894-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 6008) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |