| NPI | 1992078299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RUDASHEVSKY CEO 952-225-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN A0407181) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2023-06-01 |