NPI | 1184722464 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN GERALD SCHROCK President 763-520-4320 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 834) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-05-20 |