| NPI | 1831872969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JACOBCHICK Center Manager 701-222-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |