| NPI | 1841885597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN BEVAN Podiatrist/Owner 952-926-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-03-07 |