NPI 1043317274
Affiliated Foot and Ankle
Practice location
- Address
- 2805 Campus Dr STE 225, Plymouth, MN 55441-2678
- Phone
- (763) 383-8808
- Fax
- (763) 383-6033
- Mailing address
- 2805 Campus Dr #225, Plymouth, MN 55441
Authorised official
- Name
- John W Cheesebro
- Title
- President
- Phone
- (763) 383-8808
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1043317274
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.