# MINNESOTA FOOT AND ANKLE CLINIC P A

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

## Provider details

- **NPI number:** 1801865894
- **Authorized official:** DR. LOREN ERICKSON (PRESIDENT)
- **Authorized official phone:** (651) 646-7084

## Contact information

- **Practice address:** 1600 UNIVERSITY AVE W, SUITE 19-C, SAINT PAUL, MN 55104-3825
- **Practice address phone:** (651) 646-7084
- **Mailing address:** 1600 UNIVERSITY AVE W, SUITE 19-C, SAINT PAUL, MN 55104-3825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 444 | MN | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 01/26/2010