Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207RI0001X | 11 | Physician/Internal Medicine |
| NPI # | 1437810769 |
| LBN Legal business name | NORTH STAR COMPLETE SERVICE |
| Authorized official | SAAD WRAIZ - (MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/08/2022 |
| Last updated | 01/08/2022 - About 4 years ago |
| Identifiers | n/a |
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NORTH STAR COMPLETE SERVICE
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