Organization
MINNESOTA FOOT AND ANKLE CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN ERICKSON (PRESIDENT)
(651) 646-7084
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W, SUITE 19-C, SAINT PAUL, MN 55104-3825
(651) 646-7084
Mailing address
1600 UNIVERSITY AVE W, SUITE 19-C, SAINT PAUL, MN 55104-3825
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
444
MN
Other
Enumeration date
03/14/2006
Last updated
01/26/2010
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