| 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 (Licence: SC 555) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-01-31 |