| NPI | 1740035401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OSWALD Owner 612-968-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |