| NPI | 1508882754 |
|---|---|
| Other Name | ST. CLOUD EAR, NOSE & THROAT - HEAD & NECK CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA RAE RESSEMANN Business Office Manager 320-257-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-02-02 |