| NPI | 1598073579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ALBERTS President 763-441-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 1850) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2023-04-20 |