Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI Number | 1447093927 |
| LBN Legal business name | MILLE LACS ISANTI & SHERBURNE COS |
| Authorized official | NICOLE WYGANOWSKI - (LSN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/13/2024 |
| Last updated | 07/22/2024 - More than a year ago |
| Identifiers | n/a |
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