| NPI | 1790171171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HOFFMAN President 612-339-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 48143) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-06-18 |