| NPI | 1154559144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNN SODERHOLM Office Manager 218-722-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MN 532) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |