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OTTER TAIL PODIATRY P.C.
NPI 1912286964
Podiatrist in Fergus Falls, MN

Active since August 09, 2011
120 E JUNIUS AVE, FERGUS FALLS, MN 56537(218) 736-6868(218) 736-6017 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Otter Tail Podiatry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTER TAIL PODIATRY P.C. (NPI 1912286964) is a healthcare organization registered as a podiatrist in Fergus Falls, Minnesota and active in the NPI registry since August 2011. The organization lists Marc J Butcher, President, as its authorized official.

NPPES Registry Identity

NPI1912286964
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameOTTER TAIL PODIATRY P.C.
Location Address120 E JUNIUS AVEFergus Falls, MN 56537-2819
Mailing Address120 E Junius AveFergus Falls, MN 56537-2819 · (218) 736-6868 · Fax (218) 736-6017
Phone(218) 736-6868
Fax(218) 736-6017
Organization SubpartNo
Authorized OfficialMarc J ButcherPresident · (218) 736-6868
Enumeration DateAugust 9, 2011
✔ NPI 1912286964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MN · 828
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 828 (MN)
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 828 (MN)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 828 (MN)
120 E JUNIUS AVE, Fergus Falls, MN 56537
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Other Identifiers 1

Other1619065398Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OTTER TAIL PODIATRY ASSOCIATES, P.A.
Podiatrist (Foot Surgery)
120 E JUNIUS AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otter Tail Podiatry P.C.'s NPI number?

The NPI number for Otter Tail Podiatry P.C. is 1912286964. It was assigned to this organization in the NPPES registry on August 9, 2011.

Where is Otter Tail Podiatry P.C. located?

Otter Tail Podiatry P.C. is located at 120 E Junius Ave, Fergus Falls, MN 56537. The listed phone number is (218) 736-6868.

What is Otter Tail Podiatry P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Otter Tail Podiatry P.C. was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.