| NPI | 1336274216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRELL K KAUWE Owner 406-256-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 57) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-05-31 |