| NPI | 1134665359 |
|---|---|
| Doing Business As | CENTRACARE NEUROSCIENCES HEADACHE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-02-20 |