Whalio Doctors

NPI 1285174805

Summit Fiscal Agency

Organisation Supports Brokerage Agency Minneapolis, MN

Practice location

Address
724 Central Ave SE, Minneapolis, MN 55414-1121
Phone
(612) 977-3100
Fax
(612) 977-3980

Authorised official

Name
Chris R Smith
Title
Program Director
Phone
(612) 977-3952

Registered specialties

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X Licence M697635201 (MN)

Registry record

NPI
1285174805
Entity type
Organization
NPI issued
1 Mar 2017
Record last updated
1 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.