| NPI | 1932150117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEN V CONDON Chief Financial Officer 763-586-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 147) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 147) |
| 207K00000X Allergy & Immunology (Licence: MN 147) | |
| 207R00000X Internal Medicine (Licence: MN 147) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 147) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 147) | |
| 207V00000X Obstetrics & Gynecology (Licence: MN 147) | |
| 207W00000X Ophthalmology (Licence: MN 147) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 147) | |
| 207Y00000X Otolaryngology (Licence: MN 147) | |
| 208000000X Pediatrics (Licence: MN 147) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 147) | |
| 208600000X Surgery (Licence: MN 147) | |
| 208800000X Urology (Licence: MN 147) | |
| 208M00000X Hospitalist (Licence: MN 147) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-11-13 |