| NPI | 1821815697 |
|---|---|
| Doing Business As | GREATER MINNESOTA ALLERGY AND ASTHMA, LLC |
| Entity Type | Organization |
| Authorized Contact | MINTO K PORTER Owner 320-654-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |