| NPI | 1275545311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN D WILHELM Managing Physician 541-385-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-02-23 |