| NPI | 1891730644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE R MAJERUS Administrator 218-728-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 331053) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |