| NPI | 1013960798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN Y HENDRICKS President 763-520-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-02-09 |