| NPI | 1912947599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE IHIOMA ONYEKABA Medical Director 612-871-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 36657) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |