| NPI | 1366473597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J. KEHOE Md 262-395-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-05-26 |