Organization
ACTIVE FEET, FOOT & ANKLE HEALTH CENTER
Active
Other names
Midwest Podiatry Centers, Midwest Podiatry Centers Richfield
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LEE WECKWERTH (RCM MANAGER)
(612) 200-8029
Entity
Organization
Contact information
Practice address
6625 LYNDALE AVE S STE 105, MINNEAPOLIS, MN 55423-2673
(612) 788-8778
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, MINNEAPOLIS, MN 55423-2491
(612) 788-8778
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
Primary
631
MN
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
631
MN
231H00000X
Audiologist
—
—
Other
Enumeration date
04/15/2008
Last updated
02/10/2026
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