White Bear Foot Clinic Inc in White Bear Lake - Podiatrist
White Bear Foot Clinic Inc - NPI 1891712451
White Bear Foot Clinic Inc is a Podiatrist in White Bear Lake, Minnesota. White Bear Foot Clinic Inc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for White Bear Foot Clinic Inc is 1891712451. The last update date is 2007-12-18.
White Bear Foot Clinic Inc's current location address is 4653 White Bear Pkwy, White Bear Lake, Minnesota. You can contact this provider via phone number 6514263995 and fax number 6514265626. The mailing address for White Bear Foot Clinic Inc is 4653 White Bear Pkwy, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | White Bear Foot Clinic Inc |
|---|---|
| Address | 4653 White Bear Pkwy, White Bear Lake, Minnesota |
| Phone Number | 6514263995 |
| Fax Number | 6514265626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Worobel N Alexander |
| Credentials | DPM |
| Telephone Number | 6514263995 |
NPI Number Detail
| NPI Number | 1891712451 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 4653 White Bear Pkwy |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103300 |
| Phone Number | 6514263995 |
| Fax Number | 6514265626 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121124 | MN | HEALTH PARTNERS | |
| J890 | MN | UCARE MN PAYEE ID | |
| 077R8WH | MN | BCBS MN | |
| 43240000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to White Bear Foot Clinic Inc by the Centers for Medicare & Medicaid Services?
The White Bear Foot Clinic Inc has been issued the NPI (National Provider Identifier) 1891712451. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of White Bear Foot Clinic Inc?
The White Bear Foot Clinic Inc is situated at 4653 White Bear Pkwy, in the city of White Bear Lake, state of MN, with the zip code 551103300.
What is the area of specialization for White Bear Foot Clinic Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for White Bear Foot Clinic Inc is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891712451 to White Bear Foot Clinic Inc?
The White Bear Foot Clinic Inc received its 1891712451 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information pertaining to White Bear Foot Clinic Inc most recently updated or revised?
The details related to White Bear Foot Clinic Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-18.