| NPI | 1205369378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAD AHMED KAHIN Manager 612-644-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN X854202154017) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |