NPI | 1649574054 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC CARL BRUNS Solo Practitioner 262-248-9565 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 648-025) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2010-12-28 |