NPI | 1649401357 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA WHITE Program Manager 218-335-8304 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 05125) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2009-07-29 |