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

Midwest Foot and Ankle Specialists, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1063704807

Midwest Foot and Ankle Specialists, LLC is a Foot & Ankle Surgery Podiatrist in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11901 Central Ave NE
Blaine, MN 55434-3911
Phone: (612) 788-8778
Fax: (612) 788-3408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 631 (MN)

Record details

NPI number1063704807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Mohr — Owner · (612) 788-7274
NPI enumeratedMay 12, 2011
Last updated in NPPESMay 12, 2011
Mailing address11901 Central Ave Ne, Blaine, MN 55434-3911

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