| NPI | 1235554296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIZ A. PERESE President 612-865-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2018-01-08 |