NPI | 1629742903 |
---|---|
Doing Business As | FOURTH TRIMESTER DOC |
Entity Type | Organization |
Authorized Contact | MICHELLE SPIES HAGGERTY Owner/Founder/Physician 612-424-2241 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-08-02 |
Last Update Date | 2023-12-31 |