| NPI | 1386366532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GREGORY FALVEY Md 763-347-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-10-18 |