| NPI | 1013004175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F RUEBECK Managing Partner 952-920-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 1389) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2009-07-10 |