MARK E DOMAAS LLC is a primary podiatric medicine podiatrist in Fargo, ND. MARK E DOMAAS LLC NPI is 1720633373. The provider is registered as an organization entity type and is a single specialty group. The provider Other Name Is Advanced Foot & Ankle.
The provider's business location address is:
4450 31ST AVE S STE 102 FARGO, ND ZIP 58104-557 Phone: (763) 218-4771 Fax: (701) 205-4593
The provider's authorized official is Mark Edward Domaas . The authorized official title is President and has the following contact phone number (701) 561-3312.
The enumeration date for this NPI number is 8/9/2019 and was last updated on 4/28/2020.
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:
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: 11/21/2025
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