| NPI | 1407282809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TEUFER Credentialing Contact 612-761-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R16914-2) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |