ACTIVE FEET, FOOT & ANKLE HEALTH CENTER
Organization (NPI-2)
Active
Podiatrist, Primary Podiatric Medicine
Provider Information
- NPI Number
1689848392- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6625 LYNDALE AVE S STE 105, MINNEAPOLIS, MN, 554232673
- Phone
- (612) 788-8778
- Fax
- (612) 869-3473
Specialties & Taxonomies
Podiatrist
Podiatrist, Primary Podiatric Medicine
Primary License: MN #631