| NPI | 1861090649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCHRADE President 320-405-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center Health Service | |
| 291U00000X Clinical Medical Laboratory | |
| 305S00000X Point of Service | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |