| NPI | 1104126234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS C ROSHAU President/Owner 612-940-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN MN 3073) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |