Organization
MIDWEST PODIATRY CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LEE MOHR DPM (OWNER)
(612) 788-8778
Entity
Organization
Contact information
Practice address
6600 LYNDALE AVE S, SUITE 150, RICHFIELD, MN 55423-3380
(612) 788-8778
(612) 869-3473
Mailing address
6600 LYNDALE AVE S, SUITE 150, RICHFIELD, MN 55423-3380
(612) 788-8778
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
631
MN
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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