| NPI | 1073833711 |
|---|---|
| Doing Business As | AXIS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JON RONDESTVEDT Executive Director 612-990-6932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |