| NPI | 1619905528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI MYRVIK Business Manager 701-751-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-03-30 |