| NPI | 1922241884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE S NELSON CEO 763-427-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-04-25 |