NPI | 1750378295 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA SCHWENDEMAN Administrator 218-822-2415 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 328113) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2024-10-24 |