John E Fjerstad, D.P.M.
Podiatrist, Foot & Ankle Surgery in McKinleyville, CA. Individual provider (NPI-1).
NPI number1477528313
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1477528313
- Entity type
- Individual (NPI-1)
- Name
- John E Fjerstad
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E4316 | CA | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | DP00335 | OR |
Other names
- John E Fjerstad (Professional Name)
Practice location
1967 Central AveMcKinleyville, CA 95519-3605
Phone 707-840-0226 · Fax 707-840-0422
Mailing address
1967 Central AveMcKinleyville, CA 95519-3605
Phone 707-840-0226 · Fax 707-840-0422
Other practice locations
1080 Mason Mall Ste 3
Crescent City, CA 95531-4335
Crescent City, CA 95531-4335
Phone 707-464-3245 · Fax 707-840-0422
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