| NPI | 1265510564 |
|---|---|
| Doing Business As | RIPON FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENN F DEVRIES Owner 920-748-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 467) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-08-17 |