| NPI | 1629252101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ANDERSON ALLENBURG President 612-872-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 2467) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |