| NPI | 1265959795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN BHATTI M.D. 952-368-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 2039) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-01-20 |