| NPI | 1609007384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH ROSENBAUM President 952-346-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 1519) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |