| NPI | 1568505493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI C KLOOSTER Health Services Director 507-376-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |