NPI | 1972099927 |
---|---|
Doing Business As | ARDMORE MICHELIN FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOY KIMBALL Contract Manager 763-349-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-07-02 |
Last Update Date | 2024-05-07 |