| NPI | 1114068863 |
|---|---|
| Doing Business As | NORTHWIND LUNG SPECIALISTS & SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES O GENSMER President 763-746-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9955) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 26057) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 26057) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R-123245-3) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-01-21 |