| NPI | 1952359275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDI SUE MEIUSI President 612-865-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MN 584) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-09-09 |