| NPI | 1144588773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES DUANE President 763-416-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 19698) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |