Spirit Lake Tribe

NPI #1760933253 in Fort Totten, North Dakota

Provider Information

NPI Number
1760933253
Entity Type
Organization
Organization Name
Spirit Lake Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
SPIRIT LAKE TRIBE
Primary Specialty
Dietitian, Registered
Enumeration Date
Oct 19, 2016
Last Updated
Oct 19, 2016

Practice Location

Address
3883 74TH AVE NE
ZIP Code
58335
Phone
(701) 766-1600

Authorized Official

Name
MICHELLE BELT
Title
CEO
Phone
(701) 766-1600

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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