ADVANCED FOOT & ANKLE CLINIC LLC; NPI #1841697273

Contact Information

ADVANCED FOOT & ANKLE CLINIC LLC

300 STATE AVE
FARIBAULT, MN 55060

Phone: 507-334-1951
Fax: 507-451-5514
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED FOOT & ANKLE CLINIC LLC

NPI # 1841697273

LBN Legal business name ADVANCED FOOT & ANKLE CLINIC LLC

Authorized official BARRY BUTLER - (PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/01/2014

Last updated 04/12/2024 - About 2 years ago

Identifiers

MN	Medicaid	767042700
	Other	114357D102	UCARE
MN	Other	6B282RO	BLUE CROSS BLUE SHIELD
MN	Other	28485	HEALTH PARTNERS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVANCED FOOT & ANKLE CLINIC LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ADVANCED FOOT & ANKLE CLINIC LLC

Reviews for ADVANCED FOOT & ANKLE CLINIC LLC