| NPI | 1225076136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE RASMUSSEN Administrator 763-236-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 1498) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |