| Maplewood Podiatry, Llc | |
| 1940 Greeley St S, Suite 122, Stillwater, MN 55082-5097 | |
| (651) 439-5278 | |
| Not Available | 
| Full Name | Maplewood Podiatry, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 1940 Greeley St S, Stillwater, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598095093 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maplewood Podiatry, Llc 2520 White Bear Ave N, Suite A, Saint Paul, MN 55109-5136 Ph: (651) 439-5278 | Maplewood Podiatry, Llc 1940 Greeley St S, Suite 122, Stillwater, MN 55082-5097 Ph: (651) 439-5278 | 
| Dr. Michael Ray Bourne, MD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
| Dr. Christina Marie Knutson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 |