| NPI | 1952898405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI MARIE ALBERS Director Of Operations 612-718-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |