| NPI | 1922834142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHRISTINE BROWN Owner, Authorized Official 507-571-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-01-31 |