NPI | 1043352107 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY MARTIN YAGER Owner 612-244-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 33779) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2008-02-11 |