| 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 |