| NPI | 1164194106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMO ABDI Nurse Practitioner 612-226-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-01-04 |