| NPI | 1609134832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL VAN NOSTRAND Owner 320-251-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: MN 16374) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |