NPI | 1962899302 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD L HOLMGREN President 320-231-5079 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3732) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2015-04-23 |