| NPI | 1992890917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ELIZABETH BRIDEN CEO/Medical Director 952-915-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN MN28680) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |