North Dakota Board of Podiatric Medical Examiners Podiatrists Licensed in North Dakota
License Number	Doctor’s Name (last, first)	Doctor’s Address	Issue Date	Expiration Date	License Status
57	Aelony, Jared	Innovis Health 125 Frazee Street Detroit Lakes, MN 56501	12/05/2008	12/31/2012	Active
46	Anderson, Brad C.	Sanford Health 2400 32^nd Ave S Fargo, ND 58104	07/21/2001	12/31/2012	Active
19	Arness, Richard E.	2400 32^nd Ave S Fargo, ND 58103	06/10/1988	12/31/2012	Active
62	Britten, Joshua W.	Altru Clinic – Main P.O. Box 6003 Grand Forks, ND 58206	08/01/2011	05/12/2012	Temporary
28	Criswell, Jr., Samuel W.	1000 Columbia Rd S P O Box 6003 Grand Forks, ND 58206	06/13/1992	12/31/2012	Active
4	Deckert, Robert J.	404 Trinity Professional Bldg 20 Burdick Expy W Minot, ND 58701	10/22/1961	12/31/2012	Active
32	Fanous, Basem Z.	Community Clinic of Devils Lake 425 S. College Dr., Ste 14 Devils Lake ND 58301	07/10/1993	12/31/2012	Active
59	Felty, Benjamin	Innovis Health 401 3^rd St. SE Jamestown, ND 58401	07/20/2009	12/31/2012	Active
60	Fullmer, Clark J.	Great Plains Clinic 33 9^th St. West Dickinson, ND 58601	11/10/2009	12/31/2012	Active
29	Gale, Brian D.	Dakota Foot & Ankle 1733 E Capitol Ave Bismarck, ND 58501	06/13/1992	12/31/2012	Active
51	Hjelmstad, Tracy A.	Trinity West #202 101 3^rd Ave SW Minot, ND 58701	08/01/2004	12/31/2012	Active
8	Harris, Manuel C.	2422 20^th St. SW Jamestown, ND 58401	06/12/1976	12/31/2012	Active
58	Hart, Eric M.	525 N. 9^th St. Bismarck, ND 58501	04/18/2009	12/31/2012	Active
15	Hofsommer, Lee Allen	Essentia Health 1702 S University Dr Fargo, ND 58103	06/14/1986	12/31/2012	Active
33	Kammerer, Matthew C.	Dakota Clinic 275 South 11^th Street Wahpeton, ND 58075	08/05/1995	12/31/2012	Active
25	Kilwein, Steven	1100 Hwy 2 Hettinger, ND 58639	01/05/1991	12/31/2012	Active
42	Koester, Kevin John	222 N. 7^th Street Bismarck, ND 58501	07/07/2000	12/31/2012	Active
30	La Pan, Michael D.	214 14^th Ave SW #103 Sidney, MT 59270	07/10/1993	12/31/2012	Active
55	Lenertz, Michael S.	Trinity West #202 101 3^rd Ave SW Minot, ND 58701	04/14/2007	12/31/2012	Active
53	Lo, Shoua	Altru Clinic 1000 S. Columbia Rd Grand Forks, ND 58201	07/01/2006	12/31/2012	Active
61	Mackey, Ryan	12258 Arbor Lakes Pkwy N Maple Grove, MN 55369	07/27/2010	12/31/2012	Active
12	Malin, Howard G.	2250 Bear Den Rd Ste 210 Federick, MD 21701	06/09/1979	12/31/2011	Expired
9	Mathew, Cherian	3548 10^th Avenue E Dickinson, ND 58601	06/10/1978	12/31/2011	Expired
48	Miller, John Carlyle	3035 Demers Avenue Grand Forks, ND 58201	06/29/2002	12/31/2012	Active
52	Morgan, Bruce J.	2631 12^th Ave. S. Fargo, ND 58103	04/22/2006	12/31/2012	Active
7	Olson, Aaron C.	525 9^th St. Bismarck, ND 58501	07/01/1975	12/31/2012	Active
41	Rinehart, Karen M.	Foot Care Associates 310 S. 5^th Street P.O. Box 2655 Bismarck, ND 58504	07/07/2000	12/31/2012	Active
36	Tello, Francisco A.	Medcenter One 222 N. 7^th St Bismarck, ND 58506	08/05/1995	12/31/2012	Active
56	Theisen, Calandra	2319 147^th Ln NE Ham Lake, MN 55304	09/03/2008	12/31/2011	Expired
47	Uglem, Timothy	Meritcare Southpointe Clinic 2400 32^nd Ave S Fargo, ND 58103	09/08/2001	12/31/2012	Active
50	Vay Ung, Kham	Foot & Ankle Clinic, PC 1502 Pierce St Sioux City, IA 51105	08/01/2003	12/31/2012	Active
37	Williams, Tyson D.	Trinity West #202 101 3^rd Ave SW Minot, ND 58701	07/12/1997	12/31/2012	Active
54	Yuska, Mark E.	1720 Hwy 59 SE Thief River Falls, MN 56701	10/17/2006	12/31/2012	Active

North Dakota Podiatrists (licensure & disciplinary information)

This page offers information about the licensure status of podiatric physicians who are currently licensed to practice podiatric medicine in North Dakota or were recently licensed to practice in this state. If you are searching for a physician whose name does not appear in this data you may contact our office, however, all current active licensees are included. Disciplinary actions past and/or present are not listed. If you need this information, please contact our office.

OFFICE ADDRESS: 4309 Kodiak Place

Bismarck, ND 58503

(701) 390-7190

ndbpme@yahoo.com