| NPI | 1518995513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KETOVER President/CEO 612-871-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN 4433340) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-10-05 |