| Grand Forks Foot And Ankle Clinic, Pllc | |
|
1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434 | |
| (701) 738-2770 | |
| Not Available |
| Full Name | Grand Forks Foot And Ankle Clinic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1451 44th Ave S Ste 128d, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164647822 | NPI | - | NPPES |
| 06740-001 | Other | ND | BLURE CROSS BLUE SHIELD |
| 13707 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 48 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Forks Foot And Ankle Clinic, Pllc 1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434 Ph: (701) 738-2770 | Grand Forks Foot And Ankle Clinic, Pllc 1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434 Ph: (701) 738-2770 |
Samuel W Criswell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Qianlin Li, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 4440 S. Washington St., Grand Forks, ND 58201 Phone: 701-732-7000 | |
Yashraj Chauhan, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3035 Demers Ave, Grand Forks, ND 58201 Phone: 701-746-7521 Fax: 701-795-2553 | |
Shoua Lo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 |