| NPI | 1790927077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB A FRANK Office Manager 320-235-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 570) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |