Organization
MIDWEST FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NICHOLS DPM (OWNER)
(952) 890-4061
Entity
Organization
Contact information
Practice address
705 18TH ST E, GLENCOE, MN 55336-1432
(952) 890-4061
Mailing address
705 18TH ST E, GLENCOE, MN 55336-1432
(952) 890-4061
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
02/02/2011
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