| NPI | 1356635775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN ASHFORD Medical Director 651-253-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 43366) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |