| NPI | 1003011768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BESSE Operations & Business Office Manage 952-442-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 40131) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9792) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-06-24 |