NPI | 1003247396 |
---|---|
Doing Business As | NORTH MEMORIAL HEALTH CLINIC - MAPLE GROVE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAN FROMM VP, Chief Financial Officer 763-581-4614 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2013-12-11 |
Last Update Date | 2023-08-24 |