| NPI | 1972860526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYU HONG TAE Owner 612-723-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1529) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 0082) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-04-17 |