| NPI | 1518394550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM YODER Director 262-657-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 988025) |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2013-10-05 |