MIDWEST FOOT AND ANKLE SPECIALISTS, LLC
NPI 1063704807
Podiatrist - Foot & Ankle Surgery in Blaine, MN

Active since May 12, 2011
11901 CENTRAL AVE NE, BLAINE, MN 55434(612) 788-8778(612) 788-3408 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Foot And Ankle Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST FOOT AND ANKLE SPECIALISTS, LLC (NPI 1063704807) is a healthcare organization registered as a foot & ankle surgery in Blaine, Minnesota and active in the NPI registry since May 2011. The organization lists Bryan L Mohr, Owner, as its authorized official.

NPPES Registry Identity

NPI1063704807
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMIDWEST FOOT AND ANKLE SPECIALISTS, LLC
Location Address11901 CENTRAL AVE NEBlaine, MN 55434-3911
Mailing Address11901 Central Ave NeBlaine, MN 55434-3911 · (612) 788-8778 · Fax (612) 788-3408
Fax(612) 788-3408
Organization SubpartNo
Authorized OfficialBryan L MohrOwner · (612) 788-7274
Enumeration DateMay 12, 2011
NPI 1063704807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MN · 631
11901 CENTRAL AVE NE, Blaine, MN 55434

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
11901 CENTRAL AVE NE
BLAINE, MN 55434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Foot And Ankle Specialists, LLC's NPI number?

The NPI number for Midwest Foot And Ankle Specialists, LLC is 1063704807. It was assigned to this organization in the NPPES registry on May 12, 2011.

Where is Midwest Foot And Ankle Specialists, LLC located?

Midwest Foot And Ankle Specialists, LLC is located at 11901 Central Ave NE, Blaine, MN 55434. The listed phone number is (612) 788-8778.

What is Midwest Foot And Ankle Specialists, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Midwest Foot And Ankle Specialists, LLC was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.