NPI 1164716387

Active Feet, Foot & Ankle Health Center

Organisation Foot & Ankle Surgery Podiatrist Minneapolis, MN

Practice location

Address: 4001 Stinson Blvd STE 120, Minneapolis, MN 55421-3424
Phone: (612) 788-8778
Mailing address: 6625 Lyndale Ave S STE 300, Minneapolis, MN 55423-2491

Authorised official

Name: Bryan Mohr
Title: Owner
Phone: (612) 788-8778

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Minnesota →

Registry record

NPI: 1164716387
Entity type: Organization
NPI issued: 6 Jun 2011
Record last updated: 1 Nov 2018

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.