| NPI | 1225472046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISA ANN ASMUS DORWEILER Owner/Provider 763-350-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN r1232822) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-06-03 |