Dr. Mark Dennis Homstad
Podiatrist
6625 Lyndale Ave S Ste 105
Richfield
, Minnesota 55423-2673
Dr. Mark Dennis Homstad
Podiatrist
6625 Lyndale Ave S Ste 105
Richfield
, Minnesota 55423-2673
(866) 691-8423
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Mark Dennis Homstad
- 6625 Lyndale Ave S Ste 30
- Minneapolis, MN
- Zip : 55423-2373
- Fax : (866) 691-8423
- Phone : (612) 788-8778
Second Address
- Dr. Mark Dennis Homstad
- 6625 Lyndale Ave S Ste 105
- Richfield, MN
- Zip : 55423-2673
- Phone : (612) 788-8778
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 395 | MN |
| Y | 222Z00000X | Podiatrist | 395 | MN |
National Provider Identifier
| NPI | 1043289580 |
|---|---|
| Provider Name | Dr. Mark Dennis Homstad |
| First Address | Minneapolis, MN 55423-2373 |
| Second Address | Richfield, MN 55423-2673 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 29/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2700556 | MEDICA (01) | MN |
| 473525100 | (05) | MN |
| 86682HO | BLUE CROSS/ BLUE SHIELD (01) | MN |
| T39316 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.