Organization
WHITE BEAR FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER N WOROBEL DPM (OWNER)
(651) 426-3995
Entity
Organization
Contact information
Practice address
4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 426-3995
(651) 426-5626
Mailing address
4653 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 426-3995
(651) 426-5626
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077R8WH
BCBS MN
MN
01
—
121124
HEALTH PARTNERS
MN
05
—
43240000
—
WI
01
—
J890
UCARE MN PAYEE ID
MN
Enumeration date
07/17/2006
Last updated
12/18/2007
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