NPI | 1164716387 |
---|---|
Doing Business As | MIDWEST PODIATRY CENTER ST. ANTHONY |
Entity Type | Organization |
Authorized Contact | BRYAN MOHR Owner 612-788-8778 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2011-06-06 |
Last Update Date | 2018-11-01 |