Organization
ADVANCED FOOT & ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALEXANDER BUTLER DPM (PARTNER)
(507) 451-5950
Entity
Organization
Contact information
Practice address
300 STATE AVE, FAIRBAULT, MN 55060
(507) 334-1951
(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
—
01
—
28485
HEALTH PARTNERS
MN
01
—
6B282RO
BLUE CROSS BLUE SHIELD
MN
05
—
767042700
—
MN
Enumeration date
12/01/2014
Last updated
04/12/2024
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