| NPI | 1114430089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN POST Credentialing Coordinator 651-602-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 1076) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |