| NPI | 1053620187 |
|---|---|
| Doing Business As | HEALTHEAST ROSEVILLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAUREEN RING Director Network Relations AO 612-672-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-10-04 |