| NPI | 1205259041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE R EVANS Owner 218-749-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 908) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2018-10-05 |