| NPI | 1225797285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D HOCHHALTER President 651-254-0043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-03-15 |