| NPI | 1538366224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY J HOFFMAN Clinic Administrator 507-288-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 017145) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-10-03 |