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Otter Tail Podiatry P.c.
Foot & Ankle Surgery Podiatrist in Fergus Falls, Minnesota
NPI 1912286964

Otter Tail Podiatry P.c. is a Foot & Ankle Surgery Podiatrist based in Fergus Falls, MN and is specialized in Foot & Ankle Surgery. Otter Tail Podiatry P.c. practices in Fergus Falls, MN. The NPI Number for Otter Tail Podiatry P.c. is 1912286964 and holds a License No. 828 (Minnesota).

The current practice location address for Otter Tail Podiatry P.c. 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.

Location: 120 E Junius Ave, Fergus Falls, MN, 56537-2819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912286964
Provider Name
Otter Tail Podiatry P.c.
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
08/09/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619065398 01 NPI
institution
Provider Business Practice Location Address Details
Address
120 E Junius Ave
City
Fergus Falls
State
Minnesota
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
Fergus Falls
State
Minnesota
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
-
Taxonomy
213E00000X
License No.
828 (Minnesota)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
828 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
828 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
828 (Minnesota)
Definition
Definition to come...
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