| 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 |