| NPI | 1932730447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY NANCY HANSON Medical Director 952-240-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |