| NPI | 1164533311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS THORSEN President 763-208-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |