Organization
GENERATIONS FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH P WHITTAKER DPM (OWNER/PROVIDER)
(612) 670-0209
Entity
Organization
Contact information
Practice address
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2643
(763) 422-0233
Mailing address
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2643
(763) 422-0233
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
830
MN
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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