NPI | 1386853760 |
---|---|
Entity Type | Organization |
Authorized Contact | CURT A KRISTENSEN Partner 218-722-0615 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 496) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 482) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 498) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2013-04-24 |