| NPI | 1720624976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A BROWN Vice President, Business Dev 651-414-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |