| NPI | 1497281497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A OPPERMAN CEO/Medical Director 612-961-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO DR.0042114) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |