| NPI | 1053392027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BOLIN LOCKNER Owner 612-332-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MN 359) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-08-10 |