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NPI 1154549640 · live from the CMS NPI Registry

Foot & Ankle Clinics Of Southern Iowa, PC

Podiatrist in Ottumwa, IA. National Provider Identifier 1154549640, active.

NPI record

NPI1154549640 Type 2 · organization
StatusActive
Primary specialtyPodiatrist 213E00000X
Practice location301 W 2nd St Ste 2, Ottumwa, IA 52501
Practice phone641-684-8448
EnumeratedApril 23, 2007
Last updatedJanuary 9, 2026
Authorized officialDavid Wanner, Owner
Other namesOttumwa Foot & Ankle Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist primary213E00000X00453 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.