ST. CLOUD PODIATRY CLINIC P.A. NPI 1679622237

NPI Information

ST. CLOUD PODIATRY CLINIC, P.A. is a podiatrist in Saint Cloud, MN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ST. CLOUD PODIATRY CLINIC, P.A. NPI is 1679622237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 7TH AVE S
SAINT CLOUD, MN
ZIP 56301-259
Phone: (320) 253-7533
Fax: (320) 654-8718

The provider's authorized official is Stephen E Lore .
The authorized official title is President and has the following contact phone number (320) 253-7533.

The CLIA number assigned to this NPI record is 24D2155168 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 10/22/2007.

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:

Other Identifiers

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