| NPI | 1679752851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY LEWIS Clinic Manager 701-232-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 7790) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |