NPI | 1780090381 |
---|---|
Doing Business As | OPTUM CLINIC |
Entity Type | Organization |
Authorized Contact | RONALD SHUMACHER Officer 952-205-1189 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |