| NPI | 1265614242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JOHN LENSELINK Clinic Administrator 952-835-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207Q00000X Family Medicine | |
| 171100000X Acupuncturist | |
| 171100000X Acupuncturist (Licence: MN 401) | |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| 261QP2300X Clinic/Center, Primary Care | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2014-10-31 |