| NPI | 1518667062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CHRISTOPHER SCHENK Owner 763-772-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208D00000X General Practice |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-06-08 |