| NPI | 1972690113 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDA GAVITT MCKEE Clinic Manager 952-938-6699 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 22924) | 
| Enumeration Date | 2006-10-09 | 
| Last Update Date | 2020-08-22 |