| NPI | 1649401688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDLE S CORFMAN Medical Director/Owner 763-494-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 207VE0102X) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |