| NPI | 1659422509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIEN CFO 651-968-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-08-01 |