| NPI | 1588749337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON FLAIG Clinic Administrator 701-235-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-02-14 |