| NPI | 1730113630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA J BECKER Clinic Administrator 612-863-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-07-24 |