| NPI | 1629444286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M SCHROEDER Qp 763-753-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN A003607200) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |