| NPI | 1699054361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR LEE FRETAG Administrator 612-782-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: MN 22350) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |