| NPI | 1801213681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN RICHMAN Physician 612-747-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 35811) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |