Dr. Michael Ray Bourne, MD
Dr. Michael Ray Bourne, MD is a Podiatry in Stillwater, Minnesota. Graduated from California School of Podiatric Medicine in 1988, 38 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 38
- Trained at
- California School of Podiatric Medicine
- Licensed in
- MN, WI
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1500 Curve Crest Blvd WStillwater, MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 275-3325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 445 (MN) |
|---|---|
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 746 (WI) |
| Podiatrist | Taxonomy 213E00000X · Licence 746 (WI) |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 445 (MN) |
Record details
| NPI number | 1164412649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | April 23, 2026 |
| Certification date | April 23, 2026 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | CALIFORNIA SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Group practice | Tria Orthopaedic Center Llc — 506 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Other providers in Stillwater
-
Maplewood Podiatry, LLC
1940 Greeley St S Ste 122, Stillwater, MN 55082-5097 · (651) 439-5278
-
Dr. Katie Jean Wray, DPM
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 · (952) 831-8742