MINNESOTA FOOT AND ANKLE CLINIC P A NPI 1801865894

NPI Information

MINNESOTA FOOT AND ANKLE CLINIC P A is a foot and ankle surgery podiatrist in Saint Paul, MN. MINNESOTA FOOT AND ANKLE CLINIC P A NPI is 1801865894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 UNIVERSITY AVE W
SUITE 19-C
SAINT PAUL, MN
ZIP 55104-825
Phone: (651) 646-7084

The provider's authorized official is Loren Erickson .
The authorized official title is President and has the following contact phone number (651) 646-7084.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 1/26/2010.

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

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

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