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 |