NPI | 1780017442 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH P WHITTAKER Owner/Provider 612-670-0209 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 830) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2013-08-16 |