Organization
ST CLOUD FOOT & ANKLE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER NICHOLAS ELLIS DPM (OWNER)
(320) 251-5444
Entity
Organization
Contact information
Practice address
106 DOCTORS PARK, ST CLOUD, MN 56303-1207
(320) 251-5444
(320) 656-9590
Mailing address
106 DOCTORS PARK, ST CLOUD, MN 56303-1207
(320) 251-5444
(320) 656-9590
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
01/25/2017
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