| NPI | 1013963644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN HALLER President 651-254-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-08-20 |