| NPI | 1245305895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI OSTER President 952-831-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 196) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |