| NPI | 1497157168 |
|---|---|
| Doing Business As | UMD SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOSH BERLO Asst Ath Dir For Sports Medicine 218-726-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |