| NPI | 1932361565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DELFANIAN Office Manager 952-892-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 41861) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |