| NPI | 1164713509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ABBOUD Owner/Podiatrist 920-750-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 984025) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-01-02 |