| NPI | 1174554653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CRAGG Shareholder 952-837-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MN 1655) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 1655) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |