NPI | 1700907912 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD RICHARD LAMB President 701-237-9592 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ND 5261) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2011-07-11 |