| NPI | 1043812787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A NESS President 763-559-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |