| NPI | 1932417045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MORUD CEO 218-333-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1168925) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |