Dr. Michael Ray Bourne is a Stillwater, Minnesota based male podiatrist with 36 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation from California School Of Podiatric Medicine in 1988. He is also affiliated with hospitals like Lakeview Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Ray Bourne for Podiatry is 445 in Minnesota. Dr. Michael Ray Bourne provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Michael Ray Bourne speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1951357540
Enrollment ID:
I20050328000193
NPI Number:
1164412649
NPI Enumeration Date:
25 Oct, 2005
NPI Last Update On:
04 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Ray Bourne are as mentioned below.
License Number
Specialization
State
Status
445
Podiatry
Minnesota
Primary
746
Podiatric Foot & Ankle Surgery
Wisconsin
Secondary
746
Podiatry
Wisconsin
Secondary
445
Podiatric Foot & Ankle Surgery
Minnesota
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Lakeview Memorial Hospital (240066)
Stillwater, MN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Michael Ray Bourne is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Tria Orthopaedic Center Llc (3173570561)
294
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael Ray Bourne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
164225100
Medicaid
Minnesota
43222300
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota
Zip:
55425-4516
Phone Number:
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Fax Number:
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Patients can reach Dr. Michael Ray Bourne at 1500 Curve Crest Blvd W, Stillwater, Minnesota or can call to book an appointment on 651-439-1234. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.