| NPI | 1033913660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SINNER COO 952-607-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-09-08 |