NPI | 1184664674 |
---|---|
Doing Business As | BUFFALO CLINIC, MONTICELLO CLINIC, ALBERTVILLE/ST.MICHAEL CLINIC, |
Entity Type | Organization |
Authorized Contact | JASON S HALVORSON President 763-295-2921 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 520) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2016-08-12 |