| NPI | 1407893936 | 
|---|---|
| Doing Business As | ABBOTT NORTHWESTERN WOUND CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2025-01-22 |