| NPI | 1790730380 |
|---|---|
| Professional Name | FOOT & ANKLE CLINICS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 473) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 668-025) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 473) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 668-025) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-02-23 |