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Contact Information

ADVANCED FOOT & ANKLE CLINIC LLC
633 1ST ST SE STE 100
FARIBAULT, MN55021-6348
 Phone: 507-451-5950
 Fax: 507-451-5514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT ANKLE CLINIC LLC · (Female)

NPI # 1033553789
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2013
Last updated 04/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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