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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
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