NPI | 1891250031 |
---|---|
Doing Business As | ENTIRA FAMILY CLINICS MTM |
Entity Type | Organization |
Authorized Contact | SAMEER BADLANI Chairman Of The Board 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-02-01 |
Last Update Date | 2025-02-07 |