| NPI | 1700162328 |
|---|---|
| Doing Business As | ESSENTIA HEALTH - BAXTER SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LARSON VP Of Operations 218-828-7656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2020-05-01 |