Organization
MIDWEST FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MOHR DPM (OWNER)
(651) 459-9171
Entity
Organization
Contact information
Practice address
7430 80TH ST S, SUITE 104, COTTAGE GROVE, MN 55016-3035
(651) 459-9171
Mailing address
7430 80TH ST S, SUITE 104, COTTAGE GROVE, MN 55016-3035
(651) 459-9171
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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