NPI | 1053314013 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON J LUHRS VP Finance 952-883-7158 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 328557) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2021-10-25 |