| NPI | 1902563638 | 
|---|---|
| Doing Business As | ESSENTIA HEALTH CLOQUET CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2021-11-17 | 
| Last Update Date | 2024-02-28 |