| NPI | 1821176124 |
|---|---|
| Doing Business As | BERLIN FAMILY FOOT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENN F DEVRIES Owner 920-361-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 467) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-02-17 |