| NPI | 1215996137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDE MARIE JOHNSON Admin Assistant 651-726-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 645) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-10-04 |