| NPI | 1891200655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NILS BRUSTUEN President 651-330-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2018-04-26 |