| NPI | 1508356619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RIESER President 651-269-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-07-06 |