| NPI | 1487730594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DUCE Chief Administrative Officer 612-573-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 322) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MN 322) |
| 2085N0700X (Licence: MN 322) | |
| 2085N0904X (Licence: MN 322) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MN 322) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 322) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MN 322) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-08-14 |