| Dr Michael Lee Vallez, DPM | |
| 
					6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673  | |
| (612) 788-8778 | |
| (612) 869-3473 | 
| Full Name | Dr Michael Lee Vallez | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist | 
| Location | 6625 Lyndale Ave S Ste 105, Richfield, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215440854 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 135.000988 (Illinois) | Secondary | 
| 213E00000X | Podiatrist | 1130 (Minnesota) | Primary | 
| Provider Name | Active Feet, Foot & Ankle Health Center | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1689848392 PECOS PAC ID: 1254401300 Enrollment ID: O20080602000720  | 
| Provider Name | In House Senior Services Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1083962294 PECOS PAC ID: 7113170267 Enrollment ID: O20130123000456  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael Lee Vallez, DPM 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 Ph: (612) 788-8778  | Dr Michael Lee Vallez, DPM 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 Ph: (612) 788-8778  | 
Midwest Podiatry Centers Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6600 Lyndale Ave S, Suite 150, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473  | |
John M Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473  | |
Mr. Bryan Mohr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473  | |
Dr. Mark Dennis Homstad, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778  | |
Dr. Kathryn C Jenewein, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778  | |
Amanda Mcguire, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473  | |
Dr. Timothy J Szopa, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 W 66th St, Richfield, MN 55423 Phone: 612-798-8800 Fax: 612-798-8816  |