| NPI | 1538234364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC PAOKOU YANG Owner 651-771-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MN 681) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-02-26 |