| NPI | 1114057023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEORGE RICHIE Owner 507-332-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 8598271) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-05-24 |