Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otter Tail Podiatry PC

Organization Podiatrist · NPI 1912286964

Otter Tail Podiatry PC is a Podiatrist in Fergus Falls, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 E Junius Ave
Fergus Falls, MN 56537-2819
Phone: (218) 736-6868
Fax: (218) 736-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 828 (MN)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 828 (MN)
Radiology Podiatrist Taxonomy 213ER0200X · Licence 828 (MN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 828 (MN)

Record details

NPI number1912286964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Butcher — President · (218) 736-6868
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011
Mailing address120 E Junius Ave, Fergus Falls, MN 56537-2819

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