| NPI | 1548554967 |
|---|---|
| Doing Business As | MIDWEST PODIATRY CENTERS BLAINE |
| Entity Type | Organization |
| Authorized Contact | BRYAN MOHR Owner 612-788-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-11-29 |