| NPI | 1407052145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION WARWICK Owner 612-467-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 30542) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 30542) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2016-03-08 |