NPI | 1295920106 |
---|---|
Doing Business As | BUFFALO FOOT SPECIALISTS |
Entity Type | Organization |
Authorized Contact | MICHAEL D O'BORSKY President 763-682-9433 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: MN 517) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2009-12-17 |