Individual
ANDREW D. LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1901 OID MINNESOTA AVE, MANKATO CLINIC @ DANIEL'S HEALTH CENTER, ST. PETER, MN 56082
(507) 934-2325
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002170
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
786
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235290420
AMERICAS PPO
MN
01
—
139607
UCARE
MN
01
—
211D6LU
BCBS
MN
01
—
63371
SANFORD HEALTH PLAN SD
SD
01
—
63371
SANFORD HEALTH PLAN
—
05
—
844615100
—
MN
01
—
HP80446
HEALTH PARTNERS
MN
01
—
NA2951051682
PREFERRED ONE
MN
01
—
P00630161
RR MEDICARE - MN
MN
Enumeration date
12/12/2006
Last updated
07/10/2020
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