| 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 |