| NPI | 1992269351 |
|---|---|
| Doing Business As | SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | USMAN TANVEER MALIK Owner 612-607-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |