OrganizationActive
Advanced Foot Care Clinic,ltd
NPI 1053438648 · Podiatrist · Minneapolis, MN
Provider details
- NPI number
- 1053438648
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Robert Mullin, President(763) 550-1013
- License
- 507 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
825 Nicollet Mall
Suite 601
Minneapolis, MN 55402-2606
Phone: (763) 550-1013
Fax: (763) 550-0615
Approximate (ZIP-level) locationGet directions
Mailing address
825 Nicollet Mall
Minneapolis, MN 55402-2606
Other names (DBA / former)
- Doing business as
- Advanced Foot & Ankle Care
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.