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 |