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ANDREW D. LUNDQUIST DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1235290420

Individual Registrant:
 ANDREW D. LUNDQUIST DPM
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1901 OID MINNESOTA AVE MANKATO CLINIC @ DANIEL'S HEALTH CENTER ST. PETER, MN 56082 US
Tel: 507-934-2325  Fax: --

Contact information for business:
PO BOX 8674 1230 E MAIN ST MANKATO CLINIC LTD MANKATO, MN 56002-8674 US
Tel: 507-625-1811  Fax: --

Registration Information:
NPI: 1235290420
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
MI5901002170
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
MN786

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UCARE139607MN01
SANFORD HEALTH PLAN SD63371SD01
HEALTH PARTNERSHP80446MN01
MN HEALTH PARTNERSHP80446MN01
PREFERRED ONENA2951051682MN01
BCBS211D6LUMN01
AMERICAS PPO1235290420MN01
SANFORD HEALTH PLAN6337101
844615100MN05
RR MEDICARE - MNP00630161MN01




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