| NPI | 1851470462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY R NELSON Office Manager 507-388-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 37416) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MN 37416) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-04-06 |