NPI | 1023070554 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GALIN SANDNESS President 952-922-2012 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 28205) |
Enumeration Date | 2006-04-02 |
Last Update Date | 2020-08-22 |