Organization
INSTEP FOOT CLINC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD JAMES BUSCH D.P.M. (PRESIDENT)
(651) 766-9614
Entity
Organization
Contact information
Practice address
4625 CHURCHILL ST, SUITE 201, SHOREVIEW, MN 55126-5868
(651) 766-9614
(952) 929-3358
Mailing address
7250 FRANCE AVE S, SUITE 415, EDINA, MN 55435-4305
(952) 926-3566
(952) 929-3358
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
540
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633818600
—
MN
Enumeration date
12/31/2007
Last updated
11/04/2009
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