| NPI | 1164647822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARLYLE MILLER President 701-738-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ND 48) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-03-14 |