| NPI | 1629231121 |
|---|---|
| Doing Business As | MILLE LACS FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN W UNZEN CFO 320-532-2581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-04-26 |