Individual provider · Type 1 NPI
Jessica Tabatt, D.P.M.
Foot & Ankle Surgery Podiatrist · Brainerd, MN
NPI number
1811250707
Active
Practice location
2024 S 6th St
Brainerd, MN 56401-4529
Mailing address
400 E 3rd St, MCL2CRED
Duluth, MN 55805-1951
Other practice locations
- 415 Barclay Ave, Pine River, MN 56474-5139 · (218) 587-4416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | TP187 (MN) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 928 (MN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1811250707
Jessica Tabatt, D.P.M.'s National Provider Identifier is 1811250707, issued on Jun 17, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brainerd, MN. The record was last updated on Nov 27, 2018.