| NPI | 1396726659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK CHOQUETTE CEO 218-279-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MN 460) |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2015-01-02 |