| NPI | 1396152211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH A. SLATTERY Owner/President 651-645-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 31392) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2016-11-22 |