| NPI | 1215056239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA J THIEL CEO 763-537-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 360891) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-25 |