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Organization

MIDWEST FOOT AND 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
621 S 4TH ST, LE SUEUR, MN 56058-2203
(507) 665-3375
Mailing address
621 S 4TH ST, LE SUEUR, MN 56058-2203
(507) 665-3375

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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