| NPI | 1174703805 |
|---|---|
| Doing Business As | ENTIRA FAMILY CLINICS-EAST SIDE |
| Entity Type | Organization |
| Authorized Contact | KYLE NELSON CAO 651-772-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 1428) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-10-26 |