| NPI | 1043566045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM A BERRY CEO 651-968-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2022-05-02 |