| NPI | 1396818613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MUCHOW Manager 952-974-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MN 22501) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |