Nicholas Staub
Nicholas Staub is a Podiatry in Richfield, Minnesota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2018, 8 years ago. Practices with Active Feet, Foot and Ankle Health Center, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 8
- Trained at
- Des Moines University of Osteopathic Medicine and Health Sciences
- Licensed in
- MN
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
6625 Lyndale Ave S Ste 105Richfield, MN 55423-2673
Phone: (612) 200-8029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 12303 De Paul Dr, Bridgeton, MO 63044-2512 — (314) 344-7545
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 1091 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790274066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 2, 2018 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
| Mailing address | 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduated | 2018 (8 years in practice) |
| Group practice | Active Feet, Foot And Ankle Health Center — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Richfield
-
Rita Leigh Hurd, MD
407 W 66th St, Richfield, MN 55423-2304 · (612) 798-8800
-
Parvathi Jithendranathan, DDS
6411 Richfield Pkwy, Richfield, MN 55423-6400 · (612) 869-3440
-
Nicole Spalj, DPM
6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 · (612) 200-8029