| NPI | 1063570422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SUDIT President 952-545-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |