| NPI | 1154658276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK GERALD LUSHINE President/Physician 612-863-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MN 1310) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |