Steven August King, DPM | |
717 S State St Ste 900, Fairmont, MN 56031-4469 | |
(507) 238-4949 | |
(507) 238-3365 |
Full Name | Steven August King |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 717 S State St Ste 900, Fairmont, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194747493 | NPI | - | NPPES |
99017685996793B057 | Other | HI | TRICARE - CHAMPUS |
51014 | Other | HI | UHA |
222158 | Other | HI | HMSA - 65CP - HMSA QUEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO137 (Hawaii) | Secondary |
213E00000X | Podiatrist | 1134 (Minnesota) | Primary |
Provider Name | Island Podiatry Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558764662 PECOS PAC ID: 9234454323 Enrollment ID: O20150212001225 |
Mailing Address | Practice Location Address |
---|---|
Steven August King, DPM 2180 Main St, Wailuku, HI 96793-1666 Ph: (808) 242-6464 | Steven August King, DPM 717 S State St Ste 900, Fairmont, MN 56031-4469 Ph: (507) 238-4949 |
Dr. Luke Matthew Madsen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Charles Hounshell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Corey T Welchlin, D.O. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 717 S State St, Suite 900, Fairmont, MN 56031 Phone: 507-238-4949 Fax: 507-238-3377 |