| NPI | 1538378930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER B. WIETING Owner 502-897-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY W00253) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-09-10 |