| NPI | 1851569909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M THOMPSON Sr. Administrative Assistant 651-602-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 1076) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 1076) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 1076) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |