| NPI | 1760048227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE THOMPSON President 701-354-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QG0250X Clinic/Center, Genetics | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |