| Affiliated Foot And Ankle | |
|
2805 Campus Dr Ste 225, Plymouth, MN 55441-2678 | |
| (763) 383-8808 | |
| (763) 383-6033 |
| Full Name | Affiliated Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2805 Campus Dr Ste 225, Plymouth, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043317274 | NPI | - | NPPES |
| 27-15055 | Other | MN | MEDICA PROVIDER ID |
| 11691MI | Other | MN | BC/BS PROVIDER ID |
| HP13053 | Other | MN | HEALTHPARTNES PROV ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 366 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Foot And Ankle 2805 Campus Dr #225, Plymouth, MN 55441 Ph: (763) 383-8808 | Affiliated Foot And Ankle 2805 Campus Dr Ste 225, Plymouth, MN 55441-2678 Ph: (763) 383-8808 |
John William Cheesebro, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2805 Campus Dr Ste 225, Plymouth, MN 55441 Phone: 612-788-8778 Fax: 612-869-3473 | |
Mark E Zelent, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr, Suite #345, Plymouth, MN 55441 Phone: 763-520-2980 Fax: 763-520-2991 | |
Robert Mullin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2805 Campus Dr, Suite 325, Plymouth, MN 55441 Phone: 763-550-1013 Fax: 763-550-0615 |