# FOOT & ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780171165
- **Authorized official:** DR. STEPHEN EDWARD PANETTA DPM (OWNER)
- **Authorized official phone:** (507) 282-1053

## Contact information

- **Practice address:** 2768 SUPERIOR DR NW STE B, ROCHESTER, MN 55901-8394
- **Practice address phone:** (507) 282-1053
- **Practice address fax:** (507) 282-1384
- **Mailing address:** 2768 SUPERIOR DR NW STE B, ROCHESTER, MN 55901-8394
- **Mailing address phone:** (507) 282-1053
- **Mailing address fax:** (507) 282-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 479 | MN | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018