# WHITE BEAR FOOT AND ANKLE CLINIC INC

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

## Provider details

- **NPI number:** 1467879684
- **Authorized official:** CHRISTOPHER M PHILLIPS DPM (OWNER)
- **Authorized official phone:** (651) 426-3995

## Contact information

- **Practice address:** 4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
- **Practice address phone:** (651) 426-3995
- **Practice address fax:** (651) 426-5626
- **Mailing address:** 4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
- **Mailing address phone:** (651) 426-3995
- **Mailing address fax:** (651) 426-5626

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 11/13/2014