Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI Number | 1700098613 |
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| LBN Legal business name | WINONA FOOT CLINIC P.A. | ||||
| Authorized official | WILLIAM HANSON - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/04/2007 | ||||
| Last updated | 04/20/2009 - About 17 years ago | ||||
| Identifiers |
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