NPI | 1821338484 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY GOLDETSKY CEO 763-544-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 152W00000X Optometrist |
213E00000X Podiatrist | |
2355A2700X Specialist/Technologist, Audiology Assistant | |
Enumeration Date | 2013-02-19 |
Last Update Date | 2013-02-19 |