| NPI | 1982030706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SINDA Owner 952-933-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 42084) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2015-01-27 |