| NPI | 1629532429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEDDES Vice President 612-439-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-10-30 |