NPI: 1821646985 · ST LOUIS PARK, MN 55416 · Community Health Clinic/Center · NPI assigned 08/30/2019
| Authorized Official | DIMUCCI, MICHAEL (OWNER, FAMILY NURSE PRACTITIONER) |
| NPI Enumeration Date | 08/30/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 21 | $330.85 |
| 2021 | 15 | $0.00 |