| NPI | 1841235595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN MCCOLLOUGH Office/Business Manager 651-209-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 39295) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-04-02 |