| NPI | 1649609462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELS PETER HAUGEN Owner 507-663-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MN 2343) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2016-05-16 |