| NPI | 1740462324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M GRYSKIEWICZ Owner 952-435-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 28402) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-02-27 |