| NPI | 1366785446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIANMIN TIAN Owner 507-722-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D73853) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |