| NPI | 1396590386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C HOLMAN Special Assistant Secretary 952-513-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |