Organization Name: | METRO FOOT AND ANKLE CLINIC |
NPI Number: | 1467760157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW CHRISTOPHER RAMPETSREITER (PRESIDENT, OWNER) |
Mailing Address: | 23505 Smithtown Rd Suite 100 Excelsior |
State: | MN US |
Postal Code: | 553314541 |
Phone Number: | 9524260874 |
Fax Number: | 9524260896 |
NPI Enumeration Date: | 09/16/2010 |
NPI Last Update Date: | 09/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |