| 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 |