Avera St. Luke'S in Minneapolis - Podiatrist
Avera St. Luke'S - NPI 1871771279
Avera St. Luke'S is a Podiatrist in Minneapolis, Minnesota. Avera St. Luke'S practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Avera St. Luke'S is 1871771279. The last update date is 2022-08-18.
Avera St. Luke'S's current location address is Po Box 860674, Minneapolis, Minnesota. You can contact this provider via phone number 6056222570 and fax number 6056222571. The mailing address for Avera St. Luke'S is Po Box 860674, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera St. Luke'S |
|---|---|
| Address | Po Box 860674, Minneapolis, Minnesota |
| Phone Number | 6056222570 |
| Fax Number | 6056222571 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bjerknes J Daniel |
| Telephone Number | 6056225125 |
NPI Number Detail
| NPI Number | 1871771279 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2022-08-18 |
Provider Mailing Address Detail
| Address | Po Box 860674 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554860001 |
| Phone Number | 6056222570 |
| Fax Number | 6056222571 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 10525 |
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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 |
|---|---|---|---|
| 14712 | ND | -- | |
| 9255744 | SD | DAKOTACARE |
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What is the unique identification code assigned to Avera St. Luke'S by the Centers for Medicare & Medicaid Services?
The Avera St. Luke'S has been issued the NPI (National Provider Identifier) 1871771279. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Avera St. Luke'S is located?
The Avera St. Luke'S is situated at the following address: Po Box 860674, Minneapolis, MN, 554860001.
What is Avera St. Luke'S's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Avera St. Luke'S is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
When did the Avera St. Luke'S receive its 1871771279?
The Avera St. Luke'S was issued its 1871771279 on 2008-02-07, which is the date when the organization was assigned this unique identifier.
As of what date were the Avera St. Luke'S's details last updated?
The information pertaining to the Avera St. Luke'S, including its address, specialty, and other details, was most recently updated on 2022-08-18.