| NPI | 1700665205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADALBERTO TORRES Owner/Md 612-615-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-11-30 |