| NPI | 1699497727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIICHAEL MILLER Regional Vice President Operations 612-518-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |