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 |