| NPI | 1801865894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN ERICKSON President 651-646-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 444) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-01-26 |