NPI | 1043358013 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN LEE WOLFINGTON Owner Podiatrist 920-457-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 634) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-08-22 |