| NPI | 1205030509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE GOEBEL Owner Physician 763-473-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN 4932) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |