| NPI | 1043552458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W TORSETH President 763-443-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 42825) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2013-03-24 |