Active Feet, Foot & Ankle Health Center

NPI #1861825093 in Blaine, Minnesota

Provider Information

NPI Number
1861825093
Entity Type
Organization
Organization Name
Active Feet, Foot & Ankle Health Center
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Aug 12, 2013
Last Updated
Nov 1, 2018

Practice Location

Address
10995 CLUB WEST PKWY STE 300
City
Blaine
ZIP Code
55449-5861
Phone
(612) 788-8778

Authorized Official

Name
DR. BRYAN LEE MOHR, DPM
Title
DR OF PODIATRY
Phone
(612) 200-8028

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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