Organization
CAMBRIDGE FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BRUCE GRAHAM DPM (OWNER)
(763) 689-2183
Entity
Organization
Contact information
Practice address
1001 1ST AVE E STE 180, CAMBRIDGE, MN 55008-1855
(763) 689-2183
(763) 689-6532
Mailing address
1001 1ST AVE E STE 180, CAMBRIDGE, MN 55008-1855
(763) 689-2183
(763) 689-6532
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
303
MN
Other
Enumeration date
12/14/2012
Last updated
02/21/2013
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