Individual
DR. WILLIAM BOLIN LOCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402-2606
(612) 332-7720
Mailing address
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG., MINNEAPOLIS, MN 55402-2606
(612) 332-7720
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
359
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700017
MEDICA
MN
01
—
768181046629
PREFERRED ONE
MN
01
—
86566LO
BLUECROSSBLUESHIELD
MN
01
—
HP42871
HEALTHPARTNERS
MN
01
—
P00175785
RAILROAD MEDICARE
MN
Enumeration date
10/31/2005
Last updated
07/08/2007
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