| NPI | 1043558232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D KINCAID Owner 414-282-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WI 343) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-02-12 |