| NPI | 1053200543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WELSH Chief Medical Officer 763-587-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |