| NPI | 1780171165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD PANETTA Owner 507-282-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 479) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |