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 |