| NPI | 1992495410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LEE CLAIR Lead Partner 651-485-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 211D00000X Assistant, Podiatric |
| 213ER0200X Podiatrist Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| 261QP1100X Clinic/Center Podiatric | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-19 |