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Organization
FOOT HEALTH CENTER, PA
Active
Organization
FOOT HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHANE FREDERIKSEN DPM (OWNER)
(785) 825-0003
Entity
Organization
Contact information
Practice address
430 S OHIO ST, SALINA, KS 67401-3177
(785) 825-0003
(785) 825-0099
Mailing address
430 S OHIO ST, SALINA, KS 67401-3177
(785) 825-0003
(785) 825-0099
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00322
KS
Other
Enumeration date
03/21/2007
Last updated
10/02/2009
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