NPI | 1275793945 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN MARY WALSH Director 507-210-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 7624495) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2008-06-16 |