| NPI | 1528678026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SENCHENKOV Md/Owner 507-398-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2020-08-18 |