| NPI | 1821140864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C BRUNS Owner 262-248-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 648025) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-30 |