Family Foot and Ankle Care Incorporation

NPI #1669643102 in Oak Harbor, Washington

Provider Information

NPI Number: 1669643102
Entity Type: Organization
Organization Name: Family Foot and Ankle Care Incorporation
Primary Specialty: Podiatrist
Enumeration Date: Mar 12, 2008
Last Updated: Jul 21, 2008

Practice Location

Address: 1100 SW BOWMER ST
Address 2: STE A-103
City: Oak Harbor
State: Washington
ZIP Code: 98277-3119
Phone: (360) 679-3117

Authorized Official

Name: DR. JON R TIESSEN, DPM
Title: PHYSICIAN
Phone: (360) 679-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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