| NPI | 1053034421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADRA MUSE Nurse Practitioner 612-405-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |