207XX0005X
Bloomington, MN
Specialty
207XX0005X
Credential
MD
NPI
1215197793
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 207xx0005x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XX0005X