| NPI | 1659266203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HOEFFEL Administrator/Authorized Official 612-219-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-11-04 |