Individual provider · Type 1 NPI
Bethany Staehnke
Foot & Ankle Surgery Podiatrist · Crookston, MN
NPI number
1821470907
Active
Practice location
323 S Minnesota St
Crookston, MN 56716-1601
Other practice locations
- 1400 Locust St, Building B, Room 9520, Pittsburgh, PA 15219-5114 · (218) 289-3682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 993 (MN) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006649 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1821470907
Bethany Staehnke's National Provider Identifier is 1821470907, issued on Jun 24, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Crookston, MN. The record was last updated on Jun 28, 2018.