NPI | 1366535494 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA B. RATNER Asst Secretary 612-659-7111 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-10-02 |
Last Update Date | 2010-03-16 |