| 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 |