| NPI | 1205076593 |
|---|---|
| Doing Business As | TALBERT SURGICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN G. LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A272769) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2019-08-20 |