| NPI | 1346468253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Rvenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-05-07 |