| NPI | 1376596775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL SPENCER President CEO 651-312-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 567) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-11-08 |