| NPI | 1992196307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. STEPHEN KAZI President 507-219-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 34220) |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2015-02-08 |