| NPI | 1790097335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA VERBINSKAYA President 612-532-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME99863) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |