D.P.M. John William Cheesebro, NPI 1144333667
Podiatrist in Plymouth, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144333667
NPI Entity Type Individual
Provider Name D.P.M. John William Cheesebro
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2805 Campus Dr Ste 225, Plymouth, MN, US
Provider Mailing Address 6625 Lyndale Ave S Ste 300, Richfield, MN, US, 554232491
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

213E00000X

Taxonomy Name Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. 366
License State MN
Description A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

D.P.M. John William Cheesebro
2805 Campus Dr Ste 225

Plymouth, MN, US

Phone: 612-788-8778
Fax: 612-869-3473

Mailing Address

D.P.M. John William Cheesebro
6625 Lyndale Ave S Ste 300
Richfield, MN, US
ZIP 554232491
Phone: 612-788-8778
Fax: 612-869-3473

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0541840001 MN ADMINISTAR DEFENSE ID 01
323225500 MN MEDICAID 05
271055 MN MEDICA PROVIDER ID 01
HP13053 MN HEALTHPARTNERS PROVIDER # 01
11691MI MI BC/BS PROVIDER ID 01
411695192 MN FEDERAL TAX ID 01

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