OrganizationActive
On-Site Podiatry
NPI 1811396393 · Foot & Ankle Surgery Podiatrist · Coon Rapids, MN
Provider details
- NPI number
- 1811396393
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Mark Fincham, President
- License
- 750 (MN)
Practice location
3883 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2518
Phone: (952) 926-3566
Fax: (763) 422-9640
Mailing address
5201 Eden Ave
Edina, MN 55436-2316
Registry dates
- Enumerated
- 2014-08-20
- Last updated
- 2017-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.