Organization
WHITE BEAR FOOT AND ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PHILLIPS DPM (DOCTOR/OWNER)
(651) 426-3995
Entity
Organization
Contact information
Practice address
4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 426-3995
(651) 426-5626
Mailing address
4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 426-3995
(651) 426-5626
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
923
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472603200
—
MN
Enumeration date
11/10/2014
Last updated
11/10/2014
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