Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 5974 | MN |
NPI | 1710281282 |
---|---|
Provider Name | Dr. Emily Ann Flannigan |
First Address | Willmar, MN 56201-9140 |
Second Address | Willmar, MN 56201-9140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2010 |
Last Update Date | 21/10/2020 |