| NPI | 1053779215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIEN CFO 651-968-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 363A00000X Physician Assistant | |
| 207X00000X Orthopaedic Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-09-30 |