| NPI | 1871704338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA HATFIELD President 763-236-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 1585) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-12-06 |