MEDICARE: ASSOCIATED PODIATRISTS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DN2308	OTHER	MN	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	75S54AS	OTHER	MN	BCBS GROUP

General Provider Information

NPI Number	:	1669647400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED PODIATRISTS, P.C.

Provider Business Mailing Address
First Line	:	6344 PENN AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-1139
Country	:	US
Telephone Number	:	612-866-3601
Fax Number	:	612-866-5875

Provider Business Practice Location Address
First Line	:	6344 PENN AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-1139
Country	:	US
Telephone Number	:	612-866-3601
Fax Number	:	612-866-5875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIAN J ALTMAN
Credential	:	DPM
Telephone Number	:	612-866-3601

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	02/19/2009

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Directions to “ASSOCIATED PODIATRISTS, P.C. ” Practice Location

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