NPI | 1174303374 |
---|---|
Doing Business As | MOCHI MEDICAL WEST |
Entity Type | Organization |
Authorized Contact | BENNETT WINTON Chief Of Staff 952-250-8191 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2023-10-04 |
Last Update Date | 2024-04-12 |