101YM0800X
Bloomington, MN
Specialty
101YM0800X
Credential
PHD, LP
NPI
1184005613
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 101ym0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YM0800X