| NPI | 1891553954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE WILHELM Business Development Manager 651-755-8735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |