| NPI | 1902084882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M SWANSON Owner 507-928-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA md00046769) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |