NPI | 1770646937 |
---|---|
Doing Business As | WILLIAMS INTEGRACARE CLINIC |
Entity Type | Organization |
Authorized Contact | MARK RANDY HALSTROM Medical Director Medical Doctor 320-251-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
225100000X Physical Therapist | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-08-29 |