| NPI | 1649223629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BECKER VP Compliance 218-249-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-05-22 |