| NPI | 1639557002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REX Chief Financial Officer 952-917-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208D00000X General Practice | |
| 207R00000X Internal Medicine | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-06-26 |