NPI | 1013103050 |
---|---|
Other Name | STELLIS HEALTH - MONTICELLO CLINIC |
Entity Type | Organization |
Authorized Contact | JASON S HALVORSON President 763-295-2921 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-09-24 |
Last Update Date | 2016-08-12 |