| NPI | 1780771931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A CAIN Owner/Physician 952-938-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 28042) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |