| NPI | 1568401271 |
|---|---|
| Other Name | GL PODIATRY - DECORAH |
| Entity Type | Organization |
| Authorized Contact | KARI B ADANK Cco 608-775-8025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-08-06 |