| NPI | 1962892778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN SCHOLLER President 218-324-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT ND 100194) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |