Organization
ACTIVE FEET, FOOT & ANKLE HEALTH CENTER
Active
Other names
Midwest Podiatry Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN LEE MOHR DPM (DR OF PODIATRY)
(612) 200-8028
Entity
Organization
Contact information
Practice address
10995 CLUB WEST PKWY STE 300, BLAINE, MN 55449-5861
(612) 788-8778
Mailing address
6625 LYNDALE AVE S STE 300, MINNEAPOLIS, MN 55423-2491
(612) 200-8028
(888) 231-8658
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
631
MN
Other
Enumeration date
08/12/2013
Last updated
11/01/2018
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