NPI | 1033669395 |
---|---|
Doing Business As | MONTICELLO SURGERY CENTER LLC |
Entity Type | Organization |
Authorized Contact | JASON HALVORSON Board Chair 763-271-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 375730) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-12-14 |