| NPI | 1770939696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW A INDRESANO Manager 612-202-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q0940) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P8995) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |