| NPI | 1407130453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEE DAVISON Accounts Manager 651-287-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 21358) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |