| NPI | 1881819886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADONNA K MC DERMOTT Director Student Health Service 651-962-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MN MN32783) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |