| NPI | 1841248291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M JOHNSON President 612-863-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-06-15 |