NPI 1396803086

Maplewood Podiatry Clinic, PA

Organisation Podiatrist Maplewood, MN

Practice location

Address: 2599 White Bear Ave N, Maplewood, MN 55109-5171
Phone: (651) 770-3891
Fax: (651) 748-3117

Authorised official

Name: Ross Nelson
Title: Owner
Phone: (651) 770-3891

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Minnesota →

Registry record

NPI: 1396803086
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 2 Jul 2008

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.