| NPI | 1124274527 |
|---|---|
| Doing Business As | MILL CITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY A JONNSON COO 612-884-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-02-20 |