| NPI | 1972549962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES PIETRAFITTA President/CEO 763-416-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 1964477) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-05-10 |