# MIDWEST FOOT & ANKLE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1376718031
- **Authorized official:** WILLIAM NICHOLS DPM (OWNER)
- **Authorized official phone:** (952) 890-4061

## Contact information

- **Practice address:** 705 18TH ST E, GLENCOE, MN 55336-1432
- **Practice address phone:** (952) 890-4061
- **Mailing address:** 705 18TH ST E, GLENCOE, MN 55336-1432
- **Mailing address phone:** (952) 890-4061

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 02/02/2011