| NPI | 1225187255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PHILIP STESIN President 763-520-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 1250) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-04-20 |