| NPI | 1619119591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI JEAN MIDGARDEN Owner 701-284-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ND 8012) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-06-15 |