NPI | 1134318827 |
---|---|
Doing Business As | FAMILY FOOT & ANKLE CENTER OF CHAMPAIGN |
Entity Type | Organization |
Authorized Contact | MICHAEL MUSCATELLA President 217-398-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004109) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2010-03-22 |