| NPI | 1215167853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M WOJTOWICZ Billing Manager 763-422-6734 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2010-10-27 |