| NPI | 1114385960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A ALDRICH President 715-623-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WI 502-025) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |