| NPI | 1720315765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JARED Revenue Cycle Director 763-294-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2024-10-16 |