NPI | 1487798633 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERI DREBENSTEDT Business Office Manager 952-943-0027 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-08-22 |