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Organization
CENTRAL MINNESOTA FOOT AND ANKLE PLLC
Active
Organization
CENTRAL MINNESOTA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROUW D.P.M. (VICE PRESIDENT)
(320) 252-2963
Entity
Organization
Contact information
Practice address
2025 STEARNS WAY, SUITE 105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
Mailing address
2025 STEARNS WAY, SUITE 105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
486
MN
332B00000X
Durable Medical Equipment & Medical Supplies
486
MN
Other
Enumeration date
01/29/2008
Last updated
02/04/2013
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