| Twin Cities Foot And Ankle Clinic Pa | |
|
5851 Duluth St Suite 101 Golden Valley MN 55422-3946 | |
| (763) 546-1718 | |
| (763) 546-1943 |
| Full Name | Twin Cities Foot And Ankle Clinic Pa |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 5851 Duluth St, Golden Valley, Minnesota |
| Authorized Official Name and Position | Judith Sperling Hechter (OWNER) |
| Authorized Official Contact | 7635461718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Foot And Ankle Clinic Pa 5851 Duluth St Suite 101 Golden Valley MN 55422-3946 Ph: (763) 546-1718 | Twin Cities Foot And Ankle Clinic Pa 5851 Duluth St Suite 101 Golden Valley MN 55422-3946 Ph: (763) 546-1718 |
| NPI Number | 1104094499 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 04/09/2012 |
| Medicare PECOS PAC ID | 7517020902 |
|---|---|
| Medicare Enrollment ID | O20090112000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104094499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PC302 (Minnesota) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
| Provider Name | Judith A Sperling |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710037767 PECOS PAC ID: 5597828988 Enrollment ID: I20090112000363 |
| Provider Name | Timothy J Felton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003966052 PECOS PAC ID: 1850568973 Enrollment ID: I20120112000658 |
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