| NPI | 1053779215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIEN CFO 651-968-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 208100000X Physical Medicine & Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2018-05-10 |