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Organization
MONTANA FOOT CLINIC PC
Active
Organization
MONTANA FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS H FETTIG DPM (OWNER)
(406) 245-0888
Entity
Organization
Contact information
Practice address
3419 CENTRAL AVE, STE B, BILLINGS, MT 59102-6647
(406) 245-0888
(406) 245-1322
Mailing address
3419 CENTRAL AVE, STE B, BILLINGS, MT 59102-6647
(406) 245-0888
(406) 245-1322
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390762
—
MT
01
—
94500
BLUE CROSS AND BLUE SHIEL
MT
01
—
DA5411
RAILROAD MEDICARE
MT
Enumeration date
06/15/2006
Last updated
10/01/2018
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