| NPI | 1689734873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC F CAPORUSSO President 715-832-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 848-025) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-03 |