| NPI | 1659777290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Doctor/Owner 651-426-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MN 923) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |