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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDLE ALI

Active Sole Proprietor

IDLE ALI is a Foot & Ankle Surgery healthcare provider located in SAINT CLOUD, Minnesota. NPI 1710641691 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · SAINT CLOUD, MN

Registration Details

NPI Number
1710641691
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2021 (4.8193638217387 yrs)
Last Updated
Oct 26, 2021
Sole Proprietor
Yes

Practice Information

Address
1250 15TH ST N APT 16
SAINT CLOUD, MN, 563031825
Browse MN providers · Browse ZIP 56303
Phone
3204066287
Primary Specialty
Foot & Ankle Surgery
3747P1801X
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.