Organization
MINOT STATE UNIVERSITY
Active
Organization
MINOT STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT WINIGER (V.P FOR ADMINISTRATION AND FINANCE)
(701) 858-3321
Entity
Organization
Contact information
Practice address
500 UNIVERSITY AVE. W., MINOT, ND 58707
(701) 858-3054
Mailing address
500 UNIVERSITY AVE. W., MINOT, ND 58707
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1456607
HE MMIS
ND
Enumeration date
10/28/2020
Last updated
10/28/2020
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