| NPI | 1801299128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANDERSON HEITKAMP President 612-345-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: MN 31316) |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2020-03-16 |