| NPI | 1831317320 |
|---|---|
| Doing Business As | EAST METRO - WOODLANE |
| Entity Type | Organization |
| Authorized Contact | PAUL BERRISFORD CEO 651-772-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 1417) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |