| NPI | 1174213516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUSHAN GADAM Director Of Marketing And Business 763-328-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |