225200000X
Vadnais Heights, MN
Specialty
225200000X
Credential
PT
NPI
1114338456
3580 Arcade St, Vadnais Heights, MN 55127
(651) 968-5662Confirm 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