| NPI | 1184670044 |
|---|---|
| Doing Business As | HEALTHEAST MIDWAY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAUREEN RING Director Network Relations AO 612-672-6740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-10-04 |