| NPI | 1912365529 |
|---|---|
| Doing Business As | RAINY LAKE CLINIC - LITTLEFORK |
| Entity Type | Organization |
| Authorized Contact | ROBERT PASTOR CEO 218-283-5488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2021-06-02 |