| NPI | 1043407893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINTON LEE ALBERS President 952-432-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 1302) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |