| NPI | 1639274160 |
|---|---|
| Other Name | CPMG-ANDOVER PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOEN V CONDON Chief Financial Officer 763-586-5839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-11-13 |