| NPI | 1942547096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SPRATT Chief Administrative Officer 763-581-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |