| NPI | 1811664220 |
|---|---|
| Doing Business As | MINNESOTA INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KASI ZACK Owner 320-429-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-05-23 |