NPI | 1538219423 |
---|---|
Entity Type | Organization |
Authorized Contact | HONORATO CRIS REMUCAL Physician 320-587-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 470) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |