| NPI | 1336335066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHU President 612-205-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 44484) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-09-04 |