| NPI | 1952329757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENNIS H ARNSTON Executive Director 320-253-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-02-25 |