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 |