| NPI | 1841324795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREDERICK HESSE Director 715-514-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 725-025) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-10-23 |