| NPI | 1154834091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIN HUU DOAN Manager 763-488-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MN 976334500021) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |