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

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X631 (MN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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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.