| NPI | 1366886566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEAN SLOBASKY Physician 651-340-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MN 52882) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |