Organization
NORTHLAND FOOT & ANKLE SPECIALISTS
Active
Other names
Highland Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH PHELPS WHITTAKER DPM (CEO)
(651) 698-8879
Entity
Organization
Contact information
Practice address
2221 FORD PARKWAY, SUITE 350, ST PAUL, MN 55116
(651) 698-8879
(651) 698-7243
Mailing address
2221 FORD PARKWAY, SUITE 350, ST PAUL, MN 55116
(651) 698-8879
(651) 698-7243
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
797
MN
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760618011
—
MN
Enumeration date
05/14/2010
Last updated
05/29/2015
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