| NPI | 1871588269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA ERIN CALHOUN President 612-245-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2022-10-07 |