| NPI | 1306996335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN J. HALLORAN Clinic Administrator 651-772-6254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-04-20 |