| NPI | 1386690543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE S NELSON President 763-427-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-04-12 |