Active Feet, Foot & Ankle Health Center

NPI 1164716387 - Podiatrist - 213ES0103X

NPI Details
NPI 1164716387
Enumeration Date 06/06/2011
Last Updated 10/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRYAN BRYAN
Position OWNER
Phone (612) 788-8778
Fax
Practice Location
2600 39TH AVE NE
SUITE 250
MINNEAPOLIS MN, 55421-4379, US
Phone (612) 788-8778
Fax
Business Location
2600 39TH AVE NE
SUITE 250
MINNEAPOLIS MN, 55421-4379, US
Phone (612) 788-8778
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State
License Number
Remove 1164716387 NPI Number
 

According to our database, Active Feet, Foot & Ankle Health Center NPI is 1164716387, taxonomy code is 213ES0103X Active Feet, Foot & Ankle Health Center physically located at 2600 39th Ave Ne, Minneapolis MN, 55421-4379. NPI Number 1033115704 has the healthcare provider type.

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1164716387 NPI number is provided on an as is basis without warranty of any kind. 1164716387 is maintained by the National Plan & Provider Enumeration System. The contents of Active Feet, Foot & Ankle Health Center are for informational purposes only.