| NPI | 1013474428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA EIFRIG RAUTH Sr. Mgr Of Contracting And Cred 952-947-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |