NPI | 1720171325 |
---|---|
Doing Business As | TALBERT MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-10-02 |
Last Update Date | 2019-08-20 |