| NPI | 1376972448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr. Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC A10110) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NC A10110) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2024-05-07 |