| NPI | 1255569513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOCH Owner 763-546-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MN 1557) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 1557) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |