Organization · Type 2 NPI
Grand Forks Foot and Ankle Clinic, PLLC
Foot & Ankle Surgery Podiatrist · Grand Forks, ND
NPI number
1164647822
Active
Practice location
1451 44th Ave S Ste 128D
Grand Forks, ND 58201-3434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 48 (ND) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1164647822
Grand Forks Foot and Ankle Clinic, PLLC's National Provider Identifier is 1164647822, issued on Apr 16, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grand Forks, ND. The record was last updated on Mar 14, 2008.