| NPI | 1720633373 |
|---|---|
| Other Name | ADVANCED FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD DOMAAS President 701-561-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-04-28 |