| NPI | 1265673784 |
|---|---|
| Doing Business As | UPSTATE FOOTCARE |
| Entity Type | Organization |
| Authorized Contact | HANS BLAAKMAN Owner 864-487-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 00564) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SC 00564) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-05-07 |