| NPI | 1962596221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L BOWLIN President 952-920-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-10 |