| NPI | 1770547317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN L. IMMERMAN President 952-927-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-01-11 |