St Cloud Foot & Ankle Center PA

NPI #1083675458 in St Cloud, Minnesota

Provider Information

NPI Number: 1083675458
Entity Type: Organization
Organization Name: St Cloud Foot & Ankle Center PA
Primary Specialty: Clinic/Center - Podiatric
Enumeration Date: Mar 28, 2006
Last Updated: Jan 25, 2017

Practice Location

Address: 106 DOCTORS PARK
City: St Cloud
State: Minnesota
ZIP Code: 56303-1207
Phone: (320) 251-5444

Authorized Official

Name: WALTER NICHOLAS ELLIS, DPM
Title: OWNER
Phone: (320) 251-5444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Podiatric — Podiatric	261QP1100X	Primary

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