| NPI | 1154535466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH MUELLER Office Managaer 414-282-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 399) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-02-19 |