103T00000X
Bloomington, MN
Specialty
103T00000X
Credential
PHD
NPI
1699939173
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 103t00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 103T00000X