| NPI | 1407560113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESEOGHENE ABOKEDE CEO 612-345-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-03-19 |