| NPI | 1699882548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD HERTZENBERG Licensed Surgical Assistant 763-694-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00271) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |