| NPI | 1104505015 |
|---|---|
| Doing Business As | UNIVERSITY OF MINNESOTA SPECIAL HEALTHCARE NEEDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA M ERICKSON Credentialing Coordinator 612-626-4232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |