| NPI | 1336440197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 20A8044) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2019-08-19 |