| NPI | 1558314427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C MCCORMICK President 763-559-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-02-09 |