| 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 |