NPI | 1295926129 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE A ALDRICH Owner 612-306-2598 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MN R 122978-3) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |