| NPI | 1851546162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON D. BRABAND President & CEO 320-864-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |