NPI | 1295781920 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER R. LARSON Office Manger 952-403-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-05-25 |
Last Update Date | 2010-05-21 |