| NPI | 1568245397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEGRA Physician 218-838-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2025-01-23 |