| NPI | 1932493350 |
|---|---|
| Doing Business As | MIDWEST PODIATRY CENTERS COTTAGE GROVE |
| Entity Type | Organization |
| Authorized Contact | BRYAN MOHR Owner 612-798-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 631) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2012-11-15 |