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 | 133V00000X Dietitian, Registered |
174400000X Specialist | |
207K00000X Allergy & Immunology | |
207N00000X Dermatology | |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
2085R0202X Radiology Diagnostic Radiology | |
213E00000X Podiatrist | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2019-08-19 |