| NPI | 1013278720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LU ALEXANDER MCCORMICK Sr. VP And Chief Financial Officer 612-813-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-10-31 |