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ADVANCED FOOT & ANKLE CLINIC LLC NPI 1033553789


NPI Information

NPI: 1033553789
Provider Name: ADVANCED FOOT & ANKLE CLINIC LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
633 1ST ST SE STE 100
FARIBAULT, MN
ZIP 55021
Phone: (507) 451-5950
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ADVANCED FOOT & ANKLE CLINIC LLC is a podiatrist in Faribault, MN. The provider is 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. ADVANCED FOOT & ANKLE CLINIC LLC NPI is 1033553789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

633 1ST ST SE STE 100
FARIBAULT, MN
ZIP 55021-348
Phone: (507) 451-5950
Fax: (507) 451-5514

The provider's authorized official is Alexander Tokarski .
The authorized official title is Authorized Official and has the following contact phone number (507) 451-5950.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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