NPI | 1861538969 |
---|---|
Other Name | BRAD LINDSTROM DPM |
Entity Type | Organization |
Authorized Contact | BRADLEY ALLEN LINDSTROM Owner 864-281-9171 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 555) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2011-01-31 |