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
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