| NPI | 1669708129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN L UNGER Business Office Manager 701-499-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |