| NPI | 1962808790 |
|---|---|
| Doing Business As | IPASSA |
| Entity Type | Organization |
| Authorized Contact | ROBIN L. WETZEL Director 612-296-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |