| NPI | 1205197159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE KINGSLEY Medical Director 612-205-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 48376) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |