| NPI | 1881815322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLES ENGASSER Owner 952-920-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 22841) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-01-27 |