| NPI | 1295835247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S DOYLE Administrator 320-762-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-01-27 |