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Organization
FOOT & ANKLE CLINIC, LLC
Active
Organization
FOOT & ANKLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EDWARD PANETTA DPM (OWNER)
(507) 282-1053
Entity
Organization
Contact information
Practice address
2768 SUPERIOR DR NW STE B, ROCHESTER, MN 55901-8394
(507) 282-1053
(507) 282-1384
Mailing address
2768 SUPERIOR DR NW STE B, ROCHESTER, MN 55901-8394
(507) 282-1053
(507) 282-1384
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
479
MN
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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