NPI | 1821646985 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL VITO DIMUCCI Owner, Family Nurse Practitioner 612-805-8676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2019-08-30 |
Last Update Date | 2025-09-11 |