NPI | 1659569705 |
---|---|
Doing Business As | GRAFTON PODIATRY |
Entity Type | Organization |
Authorized Contact | ALAN L. BALKANSKY President 262-375-1940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WI 429025) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2011-12-22 |