NPI | 1568503845 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA G. NORBY Executive Assistant/Credentialing 763-398-2203 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MN Pending) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2012-12-17 |