| NPI | 1952063158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR HARTING Owner 218-824-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-11-13 |