| NPI | 1912133315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KIMBALL Contract Manager 763-349-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 01612) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2024-04-09 |