Organization
ELK RIVER FOOT & ANKLE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PAUL SCHUSTER DPM (CEO)
(763) 241-4036
Entity
Organization
Contact information
Practice address
554 3RD ST NW, SUITE 201, ELK RIVER, MN 55330
(763) 241-4036
(763) 274-1511
Mailing address
554 3RD ST NW, SUITE 201, ELK RIVER, MN 55330
(763) 241-4036
(763) 274-1511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
597
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01014725
PREFERRED ONE
—
01
—
1197340001
DMERC
MN
01
—
121108
UCARE
—
01
—
2700050
MEDICA
MN
01
—
5C962EL
BLUE CROSS
MN
01
—
5C963SC
BLUE CROSS
MN
01
—
HP24327
HEALTH PARTNERS
—
Enumeration date
03/29/2006
Last updated
08/22/2020
Update your record
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