Organization
ELITE SPECIALTY CLINICS, INC.
Active
Other names
Elite Health & Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JOHN HAUG PT, ATC (PRESIDENT/OWNER)
(701) 770-0906
Entity
Organization
Contact information
Practice address
512 MAIN ST, WILLISTON, ND 58801-5316
(701) 774-0320
Mailing address
512 MAIN ST, WILLISTON, ND 58801-5316
(701) 774-0320
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1089
ND
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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