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FOOT & ANKLE CLINICS PA NPI 1801836234


NPI Information

NPI: 1801836234
Provider Name: FOOT & ANKLE CLINICS PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
563 BIELENBERG DR
SUITE 150
WOODBURY, MN
ZIP 55125
Phone: (218) 365-2570
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FOOT & ANKLE CLINICS PA is a podiatrist in Woodbury, 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. FOOT & ANKLE CLINICS PA NPI is 1801836234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

563 BIELENBERG DR
SUITE 150
WOODBURY, MN
ZIP 55125-425
Phone: (218) 365-2570
Fax: (218) 365-2570

The provider's authorized official is Jeffrey Craig Pellersels .
The authorized official title is Owner and has the following contact phone number (651) 457-4665.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/2/2008.


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
1213E00000XPodiatrist473MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1944325800MEDICAIDMINNESOTA
21309710001MEDICARE NSCMINNESOTA
343214500MEDICAIDWISCONSIN
443240800MEDICAIDWISCONSIN

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: 11/14/2023

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