| NPI | 1962981415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILL Medical Director 952-841-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-09-25 |