| NPI | 1316278641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA STADEL Administrator 320-253-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 33302) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |