| NPI | 1881736544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EVE VANMETER Clinic Administrator 612-746-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-03-31 |