NPI | 1477554012 |
---|---|
Doing Business As | TALBERT MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207N00000X Dermatology | |
207W00000X Ophthalmology | |
207Y00000X Otolaryngology | |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
208000000X Pediatrics | |
2084N0400X Psychiatry & Neurology, Neurology | |
208600000X Surgery | |
208800000X Urology | |
152W00000X Optometrist | |
207K00000X Allergy & Immunology | |
Enumeration Date | 2005-08-04 |
Last Update Date | 2019-08-19 |