| NPI | 1326398561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON S WOLFF Partner 320-253-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-05-10 |