| NPI | 1699211862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L. JAEGER CEO 507-344-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 261QF0400X) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |