| NPI | 1568120319 |
|---|---|
| Doing Business As | THE GOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN LEE SMITH Chief Nurse Practitioner Officer 763-639-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |