institution
Otter Tail Podiatry Associates, P.a.
Foot Surgery Podiatrist in Fergus Falls, Minnesota
NPI 1639150774

Otter Tail Podiatry Associates, P.a. is a Foot Surgery Podiatrist based in Fergus Falls, MN and is specialized in Foot Surgery. Otter Tail Podiatry Associates, P.a. practices in Fergus Falls, MN. The NPI Number for Otter Tail Podiatry Associates, P.a. is 1639150774 and holds a License No. (Minnesota).

The current practice location address for Otter Tail Podiatry Associates, P.a. is 120 E Junius Ave, Fergus Falls, MN and can be reached out via phone at 218-736-6868 and via fax at 218-736-6017. You can also correspond with Otter Tail Podiatry Associates, P.a. through the mailing address at 120 E JUNIUS AVE, FERGUS FALLS, MN - 56537-2819 (mailing address contact number: 218-736-6868).

Location: 120 E Junius Ave, Fergus Falls, MN, 56537-2819
institution
Provider Profile Details
NPI Number
1639150774
Provider Name
Otter Tail Podiatry Associates, P.a.
Credential
Provider Entity Type
Organization
Address
120 E Junius Ave, Fergus Falls, MN, 56537-2819
Phone Number
218-736-6868
Fax Number
218-736-6017
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3B099OT 01 MN BCBSMN
institution
Provider Business Practice Location Address Details
Address
120 E Junius Ave
City
State
Zip
56537-2819
Phone Number
218-736-6868
Fax Number
218-736-6017
person
Provider Business Mailing Address Details
Address
120 E Junius Ave
City
State
Zip
56537-2819
Phone Number
218-736-6868
Fax Number
218-736-6017
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
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Definition
Definition to come...
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