| NPI | 1649449646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRUTE ZITA BALCIUNAS Podiatrist/Business Owner 262-652-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 711-025) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |