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Organization
MIDWEST FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization
MIDWEST FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN L MOHR DPM (OWNER)
(612) 788-7274
Entity
Organization
Contact information
Practice address
11901 CENTRAL AVE NE, BLAINE, MN 55434-3911
(612) 788-8778
(612) 788-3408
Mailing address
11901 CENTRAL AVE NE, BLAINE, MN 55434-3911
(612) 788-8778
(612) 788-3408
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
631
MN
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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