| NPI | 1962440362 |
|---|---|
| Doing Business As | ESSENTIA HEALTH ELY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL NIKCEVICH President 218-786-2628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-12-13 |