| NPI | 1144221631 | 
|---|---|
| Doing Business As | TALBERT MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology | 
| 213E00000X Podiatrist | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 133V00000X Dietitian, Registered | |
| 174400000X Specialist | |
| 207K00000X Allergy & Immunology | |
| Enumeration Date | 2005-08-09 | 
| Last Update Date | 2019-08-19 |