| NPI | 1700514320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MILLER Regional Vice President Operations 612-518-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-29 |