| NPI | 1417251935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT LARSON President 952-479-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 261QH0100X Clinic/Center Health Service | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2024-07-25 |