| NPI | 1093873838 |
|---|---|
| Doing Business As | BURNSVILLE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM NICHOLS Owner 952-890-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-01-04 |