| NPI | 1952363699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY F SMITH CEO 320-231-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: MN 1309) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2018-01-22 |