| NPI | 1144616236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN SHAFEEQ Director 612-345-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 48003) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-07-07 |