| NPI | 1821392093 |
|---|---|
| Doing Business As | ELGIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | WESTON MONROE DENT Registered Agent 701-584-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: ND 4097) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0361) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |