| NPI | 1619087251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE ANN FLYNN Vice President 262-781-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 521) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |