| NPI | 1043898778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PAUL BRANDT Administrator 612-961-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-05-03 |