| NPI | 1831478940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA N ERHARD CEO 952-220-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MN 33512) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2012-02-15 |