| NPI | 1861506263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN ROBERT GLASS President 320-251-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-09-13 |