| NPI | 1265547533 |
|---|---|
| Doing Business As | ST ANTHONY PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE GILBERTSON President 651-646-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 6251520) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |