| 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 |