| NPI | 1609804541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KETOVER President 612-871-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 593) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-05-19 |