NPI 1043289580

Mark Dennis Homstad, DPM

Practitioner Podiatrist Richfield, MN

Practice location

Address: 6625 Lyndale Ave S STE 105, Richfield, MN 55423-2673
Phone: (612) 788-8778
Mailing address: 6625 Lyndale Ave S STE 30, Minneapolis, MN 55423-2373

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 395 (MN)

Other Podiatrist providers in Minnesota →

Registry record

NPI: 1043289580
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2006
Record last updated: 29 Nov 2021

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.