Otter Tail Podiatry Associates, P.a.

NPI #1639150774 in Fergus Falls, Minnesota

Provider Information

NPI Number: 1639150774
Entity Type: Organization
Organization Name: Otter Tail Podiatry Associates, P.a.
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Nov 7, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 120 E JUNIUS AVE
City: Fergus Falls
State: Minnesota
ZIP Code: 56537-2819
Phone: (218) 736-6868

Authorized Official

Name: DR. KARENTHEA W. ROUW, D.P.M.
Title: CEO
Phone: (218) 736-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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