Otter Tail Podiatry P.C.

LBN: Otter Tail Podiatry P.C.
Otter Tail Podiatry P.C. is an health care organization with primary practice located at 120 E Junius Ave , Fergus Falls MN 56537-2819. The organization recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Otter Tail Podiatry P.C. can be contacted via phone (218) 736-6868, or through Butcher, Marc J 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: Butcher, Marc J Doctor of Podiatric Medicine (DPM)
Phone: (218) 736-6868

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 828 Minnesota
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 828 Minnesota
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 828 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 828 Minnesota

Profile Details

NPI number 1912286964
LBN Legal business name Otter Tail Podiatry P.C.
DBA Doing business as
Authorized official Butcher, Marc J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 14 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 1912286964 NPPES
Other 1619065398 NPI

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