| NPI | 1114369006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LOBECK Administrator 612-596-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-10-07 |