| NPI | 1730472218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTIN STARCHOOK President/Owner 952-853-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2020-02-10 |