OrganizationActive
Midwest Foot and Ankle Specialists, LLC
NPI 1063704807 · Foot & Ankle Surgery Podiatrist · Blaine, MN
Provider details
- NPI number
- 1063704807
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Bryan Mohr, Owner(612) 788-7274
- License
- 631 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
11901 Central Ave Ne
Blaine, MN 55434-3911
Phone: (612) 788-8778
Fax: (612) 788-3408
Approximate (ZIP-level) locationGet directions
Mailing address
11901 Central Ave Ne
Blaine, MN 55434-3911
Registry dates
- Enumerated
- 2011-05-12
- Last updated
- 2011-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.