John William Cheesebro is a Plymouth, Minnesota based male podiatrist who is specialized in Podiatry. Active license number of John William Cheesebro for Podiatry is 366 in Minnesota. John William Cheesebro is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
John William Cheesebro 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.
Specialization:
Podiatrist
Credentials:
D.P.M.
Gender:
Male
Practice Address:
2805 Campus Dr Ste 225, Plymouth, Minnesota, 55441-2678
Phone:
612-788-8778
Fax:
612-869-3473
Professional Identification Codes:
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.
NPI Number:
1144333667
NPI Enumeration Date:
17 Aug, 2006
NPI Last Update On:
22 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John William Cheesebro are as mentioned below.
License Number
Specialization
State
Status
366
Podiatry
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with John William Cheesebro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0541840001
Other
Minnesota
ADMINISTAR DEFENSE ID
323225500
Medicaid
Minnesota
271055
Other
Minnesota
MEDICA PROVIDER ID
HP13053
Other
Minnesota
HEALTHPARTNERS PROVIDER #
11691MI
Other
Michigan
BC/BS PROVIDER ID
411695192
Other
Minnesota
FEDERAL TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6625 Lyndale Ave S Ste 300, Richfield, Minnesota
Zip:
55423-2491
Phone Number:
612-788-8778
Fax Number:
612-869-3473
Patients can reach John William Cheesebro at 2805 Campus Dr Ste 225, Plymouth, Minnesota or can call to book an appointment on 612-788-8778. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Plymouth, MN
Mark E Zelent, D.P.M. 21+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 2805 Campus Dr, Suite #345, MN Phone: 763-520-2980 Fax: 763-520-2991
Robert Mullin, DPM Speciality: Podiatrist Address: 2805 Campus Dr, Suite 325, MN Phone: 763-550-1013 Fax: 763-550-0615