Organization
ADVANCED FOOT & ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER TOKARSKI (AUTHORIZED OFFICIAL)
(507) 451-5950
Entity
Organization
Contact information
Practice address
803 E SCHOOL ST, OWATONNA, MN 55060-3112
(507) 451-5950
(507) 451-5514
Mailing address
803 E SCHOOL ST, OWATONNA, MN 55060-3112
(507) 451-5950
(507) 451-5514
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114357D102
UCARE
MN
01
—
28485
HEALTHPARTNERS
MN
01
—
6B282RO
BLUE CROSS BLUE SHILED
MN
05
—
767042700
—
MN
01
—
C07768
MEDICARE
—
Enumeration date
06/01/2006
Last updated
04/12/2024
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