| NPI | 1447366919 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUSAN CAMPION Clinic Administrator 952-893-1959  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 807)  | 
| Enumeration Date | 2006-08-21 | 
| Last Update Date | 2018-07-12 |