| NPI | 1295042711 |
|---|---|
| Doing Business As | MILWAUKEE ADVANCED FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MEXTON M DEACON Owner 414-326-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WI 949-25) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-04-15 |