Foot & Ankle Clinic of St. Peter, Inc.
Organization Active NPI Podiatrist · Saint Peter, MN
NPI 1679694178 · NPPES record last updated Nov 3, 2009
Key facts
- NPI
- 1679694178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 421 (MN)
- Legal business name
- FOOT & ANKLE CLINIC OF ST. PETER, INC.
- Practice address
- 316 S 3Rd St
Saint Peter, MN 56082-2023 - Phone
- (507) 934-3102
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Schelli McCabe, D.P.M.
- Title
- Owner
- Phone
- (507) 934-3102
Practitioners 1
-
Schelli O McCabe, DPM
National Provider Directory
Locations
316 S 3rd St
Saint Peter, MN 56082
Phone (507) 934-3102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 421 | MN | Yes |
Addresses
Primary practice location
316 S 3Rd St
Saint Peter, MN 56082-2023
Mailing address
316 S 3Rd St
Saint Peter, MN 56082-2023
Phone (507) 934-3102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253725700 | Medicaid | MN |
Other providers in Saint Peter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.