| NPI | 1942401542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JOHNSON Office Manager 763-420-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN D7060) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |