NPI | 1194080218 |
---|---|
Doing Business As | MEDEXPRESS - WILMINGTON KIRKWOOD HIGHWAY |
Entity Type | Organization |
Authorized Contact | JOY KIMBALL Contract Manager 763-349-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
Enumeration Date | 2012-07-05 |
Last Update Date | 2024-05-07 |