| NPI | 1467403030 |
|---|---|
| Former Legal Business Name | OTTOMEYER CLINICS, PLLC |
| Entity Type | Organization |
| Authorized Contact | GRANT PYLKAS Chairman 651-238-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-01-12 |