| NPI | 1699428292 |
|---|---|
| Doing Business As | CERES MEDICAL |
| Entity Type | Organization |
| Authorized Contact | LYNN MARIE WACHTLER President 651-283-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |