NPI | 1699933390 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY LANG SEIFERT Owner 952-474-0434 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 16429) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |