NPI | 1194158154 |
---|---|
Doing Business As | MIDWEST PODIARTY CENTERS |
Entity Type | Organization |
Authorized Contact | BRYAN L MOHR Dr Of Podiatry 612-200-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 631) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2018-11-01 |