| NPI | 1063709392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR L MARTIN Owner / Authorized Official 952-442-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2020-02-10 |