| NPI | 1568559789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A BECK President 262-547-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 791-025) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-04-11 |