| NPI | 1629070230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M FELDHEGE Treasurer Director Of Finance 320-240-2152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-07-21 |