| NPI | 1790491975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARTHIGAYEN GOPLALA KRISHNAN President/CEO 612-644-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-03-14 |