| NPI | 1649035643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CLARK Vice President, Finance 651-254-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-28 |