| NPI | 1124567227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLYN A HAMANN President 651-340-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 19164) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |