NPI | 1417315185 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE JANDIK Owner 320-492-6506 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 38209) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2021-06-02 |