NPI | 1699486589 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA FITCH President 952-237-5489 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
163W00000X Registered Nurse | |
207RB0002X Internal Medicine, Bariatric Medicine | |
Enumeration Date | 2022-12-12 |
Last Update Date | 2022-12-12 |