| NPI | 1043039019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MINGKUANG TUNG Podiatrist 952-465-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |