| NPI | 1003912171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SISTER CECELIA MARIE SCADUTO Administrator 507-847-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 35741) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |