NPI | 1972585867 |
---|---|
Doing Business As | DULUTH FAMILY MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | SHAILENDRA PRASAD Board Chair 612-624-7629 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-11-16 |
Last Update Date | 2023-05-24 |