| NPI | 1023204286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLF HARALD HANSEN Podiatrist 920-885-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 865) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2011-11-08 |