NPI | 1790201739 |
---|---|
Doing Business As | CENTRACARE CLINIC ANESTHESIOLOGY |
Entity Type | Organization |
Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2017-08-22 |
Last Update Date | 2020-11-19 |