225200000X
Bloomington, MN
Specialty
225200000X
NPI
1508592247
8100 Northland Dr, Bloomington, MN 55431
(952) 831-8742Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X