| Advanced Foot & Ankle | |
|
4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | |
| (763) 218-4771 | |
| (701) 205-4593 |
| Full Name | Advanced Foot & Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 4450 31st Ave S Ste 102, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720633373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Domaas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265845010 PECOS PAC ID: 9335479989 Enrollment ID: I20190924002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot & Ankle 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 Ph: (701) 561-3312 | Advanced Foot & Ankle 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 Ph: (763) 218-4771 |
Robert Renschler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1702 South University Drive, Eh South University Clinic, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Ryan Jameson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S Fl 4b, Fargo, ND 58103 Phone: 701-417-4335 | |
A Foot Doctor, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2631 12th Ave S, Fargo, ND 58103 Phone: 701-232-0900 | |
Dr. Mark Domaas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S, Ste 102, Fargo, ND 58104 Phone: 701-566-8721 Fax: 701-205-4593 | |
Timothy P Uglem, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8770 Fax: 701-234-8779 | |
John Paul Naughton, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000 Fax: 701-234-8803 | |
Brad C Anderson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8720 Fax: 701-234-8779 |