| NPI | 1134527880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALLAN NESS Owner/Administrator 763-559-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 369743) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |