| NPI | 1366893430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELAINE BELLEFEUILLE Clinical Pharmacy Specialist 612-467-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |