NPI | 1215017405 |
---|---|
Entity Type | Organization |
Authorized Contact | JERALD BARNARD President 651-739-1848 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-10-16 |
Last Update Date | 2008-03-19 |