| NPI | 1972864742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ISAAK KARACHUNSKI Assistant Professor 612-626-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 47339) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |