| NPI | 1609055102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M WILNER Podiatrist 505-983-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 178) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-04-20 |