| NPI | 1164474250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SWEEN CFO 651-452-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 225100000X Physical Therapist | |
| 207Q00000X Family Medicine | |
| 208200000X Plastic Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-06-04 |