NPI | 1982884615 |
---|---|
Doing Business As | ENTIRA FAMILY CLINICS-WOODBURY |
Entity Type | Organization |
Authorized Contact | KYLE NELSON CAO 651-772-1572 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 1428) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2023-10-26 |