NPI | 1316695703 |
---|---|
Former Legal Business Name | MD2, INC |
Doing Business As | DILLMAN CLINIC & LAB |
Entity Type | Organization |
Authorized Contact | MEGAN DILLMAN Owner 952-388-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-03-15 |
Last Update Date | 2023-09-22 |