| NPI | 1073569513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE J GIOE President 651-287-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MN 028081) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |