Organization
MARK D. HOMSTAD, D.P.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DENNIS HOMSTAD D.P.M. (PRESIDENT)
(218) 722-2008
Entity
Organization
Contact information
Practice address
3308 W ARROWHEAD RD, DULUTH, MN 55811-4000
(218) 722-2008
(218) 727-2362
Mailing address
3308 W ARROWHEAD RD, DULUTH, MN 55811-4000
(218) 722-2008
(218) 727-2362
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710166541
NPI GROUP
MN
01
—
C04106
GROUP LEGACY
MN
Enumeration date
10/29/2007
Last updated
12/17/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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