NPI | 1639367667 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSANNE B CLEMENT Owner 414-327-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 677-025) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2011-09-07 |