| NPI | 1578807491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INELL C ROSARIO President / Owner 651-888-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X (Licence: MN 39684) |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-02-17 |