| NPI | 1255425088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY GERARD BURKART Managing Partner 920-743-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-05 |