| 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 |