| NPI | 1265088207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KATHRYN MCCLINTOCK Ap RN 612-850-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-06-18 |