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Contact Information

ACTIVE FEET , FOOT & ANKLE HEALTH CENTER
7501 80TH ST S
COTTAGE GROVE, MN55016-3020
 Phone: 651-459-9171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ACTIVE FEET FOOT ANKLE HEALTH CENTER · (Female)

NPI Number 1932493350
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2011
Last updated 11/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 631
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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