St Cloud Foot & Ankle Center Pa in St Cloud - Podiatric
St Cloud Foot & Ankle Center Pa - NPI 1083675458
St Cloud Foot & Ankle Center Pa is a Podiatric in St Cloud, Minnesota. St Cloud Foot & Ankle Center Pa practices all healthcare services and medical treatments related to Podiatric. The NPI Number for St Cloud Foot & Ankle Center Pa is 1083675458. The last update date is 2017-01-25.
St Cloud Foot & Ankle Center Pa's current location address is 106 Doctors Park, St Cloud, Minnesota. You can contact this provider via phone number 3202515444 and fax number 3206569590. The mailing address for St Cloud Foot & Ankle Center Pa is 106 Doctors Park, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Cloud Foot & Ankle Center Pa |
|---|---|
| Address | 106 Doctors Park, St Cloud, Minnesota |
| Phone Number | 3202515444 |
| Fax Number | 3206569590 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ellis Nicholas Walter |
| Credentials | DPM |
| Telephone Number | 3202515444 |
NPI Number Detail
| NPI Number | 1083675458 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2017-01-25 |
Provider Mailing Address Detail
| Address | 106 Doctors Park |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563031207 |
| Phone Number | 3202515444 |
| Fax Number | 3206569590 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
|
Definition: Provides conservative and surgical foot and ankle care. |
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What is the unique identifier code issued to St Cloud Foot & Ankle Center Pa by the Centers for Medicare & Medicaid Services?
The St Cloud Foot & Ankle Center Pa has been assigned the NPI (National Provider Identifier) 1083675458. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the St Cloud Foot & Ankle Center Pa located?
The St Cloud Foot & Ankle Center Pa is located at 106 Doctors Park, St Cloud, MN 563031207.
What is St Cloud Foot & Ankle Center Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The St Cloud Foot & Ankle Center Pa's area of specialization is Podiatric, and the corresponding taxonomy code that categorizes this field of practice is 261Qp1100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083675458 to St Cloud Foot & Ankle Center Pa?
The St Cloud Foot & Ankle Center Pa received its 1083675458 assignment from the Centers for Medicare & Medicaid Services on 2006-03-28.
When was the information related to St Cloud Foot & Ankle Center Pa most recently updated or refreshed?
The details pertaining to the St Cloud Foot & Ankle Center Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-25.