| NPI | 1255962098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN WEITZEL Partner 612-730-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-03-30 |