| NPI | 1770935777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJMONY S. PANNU Owner 507-269-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: applied for) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2018-03-17 |