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NPI 1891729000 · live from the CMS NPI Registry

Johannes Christiaan Coetzee, MB, ChB, MD

Orthopaedic Surgery, Foot and Ankle Surgery in Edina, MN. National Provider Identifier 1891729000, active.

NPI record

NPI1891729000 Type 1 · individual
StatusActive
Primary specialtyOrthopaedic Surgery, Foot and Ankle Surgery 207XX0004X
Practice location4010 W 65th St, Edina, MN 55435
Practice phone952-456-7000
Mailing address4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422
EnumeratedJuly 11, 2006
Last updatedOctober 7, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Foot and Ankle Surgery primary207XX0004X41848 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.