| NPI | 1003159567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SCHULTZ Owner/Md 763-537-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-01-16 |