NPI | 1376215343 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUXIA JIANG Chief Executive Officer 507-383-3279 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Enumeration Date | 2021-09-29 |
Last Update Date | 2021-09-29 |