| NPI | 1801858808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SMITH SUZANNE SMITH Manager 507-454-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MN 20008) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |