| NPI | 1255516977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST G ENCK Chief Executive Officer 651-480-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN MN20888) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |