| NPI | 1982207932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR KHASHAN CEO 651-829-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-06-12 |