| NPI | 1326496910 |
|---|---|
| Doing Business As | ADVANCED FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | DANIEL MATTHEW WETTSTEIN Owner 208-731-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P-215) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |