| NPI | 1407296148 |
|---|---|
| Doing Business As | RIVERWAY CLINICS MTM |
| Entity Type | Organization |
| Authorized Contact | LISA BJORKMAN Director 952-883-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-04-10 |