| NPI | 1659490894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J OLSON President Owner 814-864-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA 213E50103X) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-02-08 |