| NPI | 1972919512 |
|---|---|
| Doing Business As | VIRTUWELL |
| Entity Type | Organization |
| Authorized Contact | KEVIN J PALLATAO VP 952-883-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |