| NPI | 1780625491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BERTON AHLBERG President 763-427-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 1682) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |