NPI | 1902472798 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY BRIMER Owner 320-335-1709 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QB0400X Clinic/Center Birthing |
261QH0100X Clinic/Center Health Service | |
261QP2300X Clinic/Center Primary Care | |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2023-03-01 |