| NPI | 1891729802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILSON CEO 651-480-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-02-28 |