Organization
OTTER TAIL PODIATRY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARENTHEA W. ROUW D.P.M. (CEO)
(218) 736-6868
Entity
Organization
Contact information
Practice address
120 E JUNIUS AVE, FERGUS FALLS, MN 56537-2819
(218) 736-6868
(218) 736-6017
Mailing address
120 E JUNIUS AVE, FERGUS FALLS, MN 56537-2819
(218) 736-6868
(218) 736-6017
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3B099OT
BCBSMN
MN
Enumeration date
11/07/2005
Last updated
08/22/2020
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