NPI | 1538916101 |
---|---|
Doing Business As | ESSENTIA HEALTH ST JOSEPHS STAPLES CLINIC |
Entity Type | Organization |
Authorized Contact | BRADLEY BEARD COO 218-786-5652 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-02 |