| NPI | 1316966542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA A62946) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-08-19 |