Organization · Type 2 NPI

Active Feet, Foot & Ankle Health Center

Foot & Ankle Surgery Podiatrist · Minneapolis, MN

NPI number 1164716387 Active

Practice location

4001 Stinson Blvd Ste 120
Minneapolis, MN 55421-3424

Call (612) 788-8778 Map

Mailing address

6625 Lyndale Ave S Ste 300
Minneapolis, MN 55423-2491

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

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

NPI record

NPI: 1164716387
Entity type: Organization (Type 2)
Issued: Jun 6, 2011
Last updated: Nov 1, 2018
Status: Active

Other names

<unavail>
Midwest Podiatry Center St. Anthony · doing business as
Midwest Podiatry Center St. Anthony · doing business as

Authorized official

Bryan Mohr, DPM
Owner
(612) 788-8778

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164716387

Active Feet, Foot & Ankle Health Center's National Provider Identifier is 1164716387, issued on Jun 6, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 1, 2018.