| NPI | 1407009483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY JASON WERKHOVEN President 651-423-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 763) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |