| NPI | 1417078940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN CLARK HOLM President 651-326-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 30351) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |