| NPI | 1558550442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL V LEWIS Clinic Manager 701-232-6211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 41391) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-09-26 |