Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Forks Foot and Ankle Clinic, PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1164647822

Grand Forks Foot and Ankle Clinic, PLLC is a Foot & Ankle Surgery Podiatrist in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1451 44th Ave S Ste 128D
Grand Forks, ND 58201-3434
Phone: (701) 738-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 48 (ND)

Record details

NPI number1164647822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Miller — President · (701) 738-2770
NPI enumeratedApril 16, 2007
Last updated in NPPESMarch 14, 2008
Mailing address1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434

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