| NPI | 1386965762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD MARK GARCIA Sole Proprietor 612-226-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-15642) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2010-09-08 |