| NPI | 1679987788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MARY ARBES Manager 920-465-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WI 1036-25) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |