| NPI | 1275762957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL V GOSSMAN Chief Manager/Medical Director 320-253-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-10-06 |