| NPI | 1740269596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E MRDJENOVICH President 814-946-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-05-05 |