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1730586561
MIDWEST FOOT & ANKLE SURGICAL CENTER
MILWAUKEE, WI
NPI
1730586561
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Entity Type
Organization
Authorized Contact
JEROME R RANDALL
Member
866-335-1091
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2014-11-21
Last Update Date
2014-11-21
Business Address
MIDWEST FOOT & ANKLE SURGICAL CENTER
3915 W CAPITOL DR
MILWAUKEE, WI 53216-2528
Phone number: 866-335-1091
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Mailing Address
MIDWEST FOOT & ANKLE SURGICAL CENTER
7940 FARMHOUSE RD
FRANKFORT, IL 60423-6810
Phone number: 866-335-1091
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