NPI | 1063928752 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA WOLFINGTON Business Manager 920-457-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 634-25) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2024-10-25 |