Otter Tail Podiatry Associates, P.A.

LBN: Otter Tail Podiatry Associates, P.A.
Otter Tail Podiatry Associates, P.A. is an health care organization with primary practice located at 120 E Junius Ave , Fergus Falls MN 56537-2819. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Otter Tail Podiatry Associates, P.A. can be contacted via phone (218) 736-6868, or through Rouw, Karenthea W. via phone (218) 736-6868.

Contact Information

Primary practice address
120 E Junius Ave Fergus Falls MN 56537-2819
Phone: (218) 736-6868
Fax: (218) 736-6017
Website:
Map and Directions
Authorized official contact:
Name: Rouw, Karenthea W. Doctor of Podiatric Medicine (DPM)
Phone: (218) 736-6868

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1639150774
LBN Legal business name Otter Tail Podiatry Associates, P.A.
DBA Doing business as
Authorized official Rouw, Karenthea W. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639150774 NPPES
Minnesota Other 3B099OT BCBSMN

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