| NPI | 1902063027 |
|---|---|
| Other Name | STUDENT HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | TAD SEARS Director Schwb 218-723-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1113747) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |