| NPI | 1558421792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAHMOOD-THIES Office Admin 651-426-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-01-16 |