# FAMILY FOOT AND ANKLE CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275534885
- **Authorized official:** CRISTY ANN NOREM (OFFICE MANAGER)
- **Authorized official phone:** (763) 421-7300

## Contact information

- **Practice address:** 3790 117TH LN NW, COON RAPIDS, MN 55433-2666
- **Practice address phone:** (763) 421-7300
- **Practice address fax:** (763) 421-3337
- **Mailing address:** 3790 117TH LN NW, COON RAPIDS, MN 55433-2666
- **Mailing address phone:** (763) 421-7300
- **Mailing address fax:** (763) 421-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1924011 | MN | Yes |

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 02/13/2024