| NPI | 1730342577 |
|---|---|
| Doing Business As | UPSTATE FOOTCARE |
| Entity Type | Organization |
| Authorized Contact | HANS E BLAAKMAN Owner 864-586-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: SC 00564) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-06-30 |