| NPI | 1841523248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARAMIE ANDERSON Business Office Manager 763-494-7734 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MN 33043) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |