Individual provider · Type 1 NPI

Michael Ray Bourne, MD

Podiatrist · Stillwater, MN

NPI number 1164412649 Active

Practice location

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040

Call (651) 439-1234 Map

Fax (651) 275-3325

Mailing address

8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X746 (WI)
Podiatrist 213E00000X746 (WI)
Podiatrist Primary 213E00000X445 (MN)
Foot & Ankle Surgery Podiatrist 213ES0103X445 (MN)

Podiatrist: 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.

185 other providers at this address

Other podiatrist providers in Stillwater

See all in Stillwater →

About NPI 1164412649

Michael Ray Bourne, MD's National Provider Identifier is 1164412649, issued on Oct 25, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Stillwater, MN. The record was last updated on Apr 23, 2026.