Organization
CENTRAL MINNESOTA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROUW D.P.M. (VICE PRESIDENT)
(320) 252-2963
Entity
Organization
Contact information
Practice address
2025 STEARNS WAY, SUITE 105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
Mailing address
2025 STEARNS WAY, SUITE 105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
486
MN
332B00000X
Durable Medical Equipment & Medical Supplies
486
MN
Other
Enumeration date
01/29/2008
Last updated
02/04/2013
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