NPI | 1174809792 |
---|---|
Doing Business As | ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2011-10-27 |
Last Update Date | 2024-02-26 |