NPI | 1548575434 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER A CARPENTER Owner / President 651-287-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2010-08-16 |
Last Update Date | 2010-08-16 |