| NPI | 1164870895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKIE HINES Director Of Surgery Centers 651-968-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-03-01 |