| NPI | 1073992756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON C HULBERT Owner 920-216-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO3716) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |