| NPI | 1699046995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A MITCHELL Owner 612-813-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 2440) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |