| NPI | 1437276086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RANK Medical Director 952-883-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |