| NPI Details | |
|---|---|
| NPI | 1053392027 |
| Enumeration Date | 11/08/2005 |
| Last Updated | 08/10/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | WILLIAM BOLIN WILLIAM |
| Position | OWNER |
| Phone | (612) 332-7720 |
| Fax | (612) 333-8981 |
| Practice Location | |
|---|---|
| 825 NICOLLET MALL SUITE 517 MEDICAL ARTS BLDG MINNEAPOLIS MN, 55402-2606, US |
|
| Phone | (612) 332-7720 |
| Fax | (612) 333-8981 |
| Business Location | |
|---|---|
| 825 NICOLLET MALL SUITE 517 MEDICAL ARTS BLDG MINNEAPOLIS MN, 55402-2606, US |
|
| Phone | (612) 332-7720 |
| Fax | (612) 333-8981 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 213ES0131X |
| License State | Minnesota |
| License Number | 359 |
| Remove 1053392027 NPI Number | |
According to our database, Downtown Skyway Foot Specialists Inc NPI is 1053392027, taxonomy code is 213ES0131X and license number is 359, license state is located at Minnesota. Downtown Skyway Foot Specialists Inc physically located at 825 Nicollet Mall, Minneapolis MN, 55402-2606. NPI Number 1033115704 has the healthcare provider type.
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1053392027 NPI number is provided on an as is basis without warranty of any kind. 1053392027 is maintained by the National Plan & Provider Enumeration System. The contents of Downtown Skyway Foot Specialists Inc are for informational purposes only.
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