| NPI | 1053952606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN VERONICA RING Sys Dir Govt Reimb & Netwk Rel 612-672-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-02-13 |