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ACTIVE FEET FOOT & ANKLE HEALTH CENTER NPI 1194158154


NPI Information

NPI: 1194158154
Provider Name: ACTIVE FEET, FOOT & ANKLE HEALTH CENTER

Doing Business As: MIDWEST PODIARTY CENTERS

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6625 LYNDALE AVE S STE 105
MINNEAPOLIS, MN
ZIP 55423
Phone: (612) 788-8778
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ACTIVE FEET, FOOT & ANKLE HEALTH CENTER is a medical specialty clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ACTIVE FEET, FOOT & ANKLE HEALTH CENTER NPI is 1194158154. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Podiarty Centers.

The provider's business location address is:

6625 LYNDALE AVE S STE 105
MINNEAPOLIS, MN
ZIP 55423-673
Phone: (612) 788-8778

The provider's authorized official is Bryan L Mohr .
The authorized official title is Dr Of Podiatry and has the following contact phone number (612) 200-8020.

The enumeration date for this NPI number is 8/14/2013 and was last updated on 11/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty631MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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