Organization · Type 2 NPI
Midwest Foot and Ankle Specialists, LLC
Foot & Ankle Surgery Podiatrist · Blaine, MN
NPI number
1063704807
Active
Practice location
11901 Central Ave NE
Blaine, MN 55434-3911
Fax (612) 788-3408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 631 (MN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Blaine
About NPI 1063704807
Midwest Foot and Ankle Specialists, LLC's National Provider Identifier is 1063704807, issued on May 12, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Blaine, MN. The record was last updated on May 12, 2011.