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 |