| NPI | 1124286760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE D OLSON Owner 605-222-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SD 164) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2009-06-23 |