IndividualActive
James Mazzuca
NPI 1295711216 · Podiatrist · St Louis Park, MN
Provider details
- NPI number
- 1295711216
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 471 (MN)
Practice location
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 993-2794
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2012-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.