| NPI | 1073279303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DIANNE NEUMANN Owner/Provider 507-254-8329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |