| NPI | 1861505760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT L FRANCKE Owner 612-333-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 22682) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-12-29 |