Organization
DOWNTOWN SKYWAY FOOT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BOLIN LOCKNER DPM (OWNER)
(612) 332-7720
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402-2606
(612) 332-7720
(612) 333-8981
Mailing address
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402-2606
(612) 332-7720
(612) 333-8981
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
359
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062096300
—
MN
01
—
10074LO
BLUECROSSBLUESHIELD
MN
01
—
102943
HEALTHPARTNERS
MN
01
—
165613
UCARE
MN
01
—
2728357
MEDICA
MN
01
—
535942
AMERICA'S PPO
MN
01
—
768181046629
PREFERRED ONE
MN
01
—
DC5459
RAILROAD MEDICARE
MN
Enumeration date
11/08/2005
Last updated
08/10/2012
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