| NPI | 1174183040 |
|---|---|
| Doing Business As | REGENERATIVE MEDICINE CTR MN |
| Entity Type | Organization |
| Authorized Contact | MAUDIE LOUISIANA Owner 763-682-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |