MIDWEST PODIARTY CENTERS
NPI 1194158154
Clinic/Center - Medical Specialty in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

Active since August 14, 2013

6625 LYNDALE AVE S STE 105, MINNEAPOLIS, MN 55423(612) 788-8778 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Midwest Podiarty Centers NPPES

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

MIDWEST PODIARTY CENTERS (NPI 1194158154) is a healthcare organization registered as a medical specialty in Minneapolis, Minnesota and active in the NPI registry since August 2013. The organization lists Bryan L Mohr, Dr Of Podiatry, as its authorized official.

NPPES Registry Identity

NPI1194158154

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameACTIVE FEET, FOOT & ANKLE HEALTH CENTER

Location Address6625 LYNDALE AVE S STE 105Minneapolis, MN 55423-2673

Mailing Address6625 Lyndale Ave S Ste 300Richfield, MN 55423-2491 · (612) 788-8778

Phone(612) 788-8778

Organization SubpartNo

Authorized OfficialBryan L MohrDr Of Podiatry · (612) 200-8020

Enumeration DateAugust 14, 2013

Last NPPES UpdateNovember 1, 2018

✔ NPI 1194158154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in MN · 631

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6625 LYNDALE AVE S STE 105, Minneapolis, MN 55423

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