NPI | 1265574198 |
---|---|
Doing Business As | ENTIRA FAMILY CLINICS - WHITE BEAR LAKE-BELLAIRE |
Entity Type | Organization |
Authorized Contact | SCOTT PETERSON CFO 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MN 45801) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2017-04-11 |