Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL RAY BOURNE, MD
ActiveDR. MICHAEL RAY BOURNE, MD is a Foot & Ankle Surgery Podiatrist healthcare provider located in STILLWATER, Minnesota. NPI 1164412649 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · STILLWATER, MN
Registration Details
- NPI Number
- 1164412649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.833584617544 yrs)
- Last Updated
- Feb 20, 2026
- Licenses
-
746 (WI)445 (MN)445 (MN)746 (WI)
Practice Information
- Address
-
1500 CURVE CREST BLVD WSTILLWATER, MN, 550826040Browse MN providers · Browse ZIP 55082
- Phone
- 6514391234
- Fax
- 6512753325
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.