| 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 |