NPI | 1588063580 |
---|---|
Doing Business As | HEALTHEAST TAMARACK CLINIC |
Entity Type | Organization |
Authorized Contact | MAUREEN RING Director Network Relations AO 612-672-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2014-08-15 |
Last Update Date | 2023-10-04 |