| NPI | 1043478159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D JOHNSON Owner 651-492-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 28524) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2011-11-22 |