NPI | 1306048129 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE ANN REISINGER Owner 812-421-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IN 07000894A) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2008-03-17 |