| NPI | 1598976326 |
|---|---|
| Doing Business As | MINNESOTA ENT |
| Entity Type | Organization |
| Authorized Contact | MARYA LYDEEN Administrator 763-233-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-10-11 |