| NPI | 1447534904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE D POSER President 763-607-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MN 4348) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |