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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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