NPI | 1033814066 |
---|---|
Doing Business As | ESSENTIA HEALTH ST JOSEPH'S DEERWOOD CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-03-31 |
Last Update Date | 2024-02-27 |