Organization
JOHN M ENGER, PROFESSIONAL ASSOCIATION
Active
Other names
Community Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS D KLATT DPM (OWNER)
(507) 373-6133
Entity
Organization
Contact information
Practice address
904 E PLAZA STREET, ALBERT LEA, MN 56007
(507) 373-6133
(507) 373-0261
Mailing address
904 E PLAZA STREET, ALBERT LEA, MN 56007
(507) 373-6133
(507) 373-0261
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491043
—
IA
05
—
0953471
—
IA
05
—
213825500
—
MN
05
—
236266000
—
MN
01
—
480027955
MEDICARE RAILROAD
MN
05
—
803725600
—
MN
01
—
CS1038
MEDICARE RAILROAD
MN
01
—
P00309735
MEDICARE RAILROAD
MN
Enumeration date
05/03/2007
Last updated
03/06/2024
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