| NPI | 1093131419 |
|---|---|
| Doing Business As | GENEVIVE |
| Entity Type | Organization |
| Authorized Contact | AMANDA SIMPSON TUFANO CEO 763-587-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-04-16 |