| NPI | 1932208808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LU ALEXANDER MCCORMICK Sr. VP And Chief Financial Officer 612-813-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 331018) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-10-31 |