NPI | 1295540102 |
---|---|
Doing Business As | PRIMECARE OF MINNESOTA |
Entity Type | Organization |
Authorized Contact | FARDOWS O SALIM Md 952-314-4448 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-02-08 |
Last Update Date | 2025-02-14 |