Organization · Type 2 NPI
Renew Foot & Ankle LLC
Foot & Ankle Surgery Podiatrist · Grand Rapids, MN
NPI number
1821633967
Active
Practice location
1920 S Pokegama Ave Ste 103
Grand Rapids, MN 55744-4289
Fax (218) 293-4520
Mailing address
8977 Cove Dr NE
Bemidji, MN 56601-6427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1821633967
Renew Foot & Ankle LLC's National Provider Identifier is 1821633967, issued on Nov 13, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 10, 2025.