| NPI | 1699900308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE D OLSON Owner 605-995-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SD 164) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |