Organization
FAMILY FOOT AND ANKLE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY ANN NOREM (OFFICE MANAGER)
(763) 421-7300
Entity
Organization
Contact information
Practice address
3790 117TH LN NW, COON RAPIDS, MN 55433-2666
(763) 421-7300
(763) 421-3337
Mailing address
3790 117TH LN NW, COON RAPIDS, MN 55433-2666
(763) 421-7300
(763) 421-3337
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1924011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027300700
—
MN
01
—
111898
UCARE
MN
01
—
33942
HEALTH PARTNERS
MN
01
—
7B213FA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/04/2005
Last updated
02/13/2024
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