| NPI | 1538506969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D FINCHAM President 952-929-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MN 750) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-03-17 |