| 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 |