| NPI | 1992941728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. JANDL Co Owner 612-822-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |