| NPI | 1093716177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY K TOUGAS Physician/Owner 920-731-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WI 604-025) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WI 902-025) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-04-24 |