| NPI | 1578507513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-02-24 |