Organization
FOOT CLINICS LTD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN CARLSON D.P.M. (PRESIDENT)
(651) 698-8879
Entity
Organization
Contact information
Practice address
2221 FORD PKWY, SUITE 350, SAINT PAUL, MN 55116-1800
(651) 698-8879
(651) 698-7243
Mailing address
2221 FORD PKWY, SUITE 350, SAINT PAUL, MN 55116-1800
(651) 698-8879
(651) 698-7243
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59599JU
BCBS
MN
Enumeration date
03/27/2007
Last updated
12/17/2007
Update your record
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