| NPI | 1942526132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY ROSE FERGUSON Secretary 218-284-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: MN 1012) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MN 1003) |
| 176B00000X Midwife (Licence: MN 1022) | |
| 291U00000X Clinical Medical Laboratory (Licence: MN 1012) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |