| NPI | 1841483484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L DEI President 414-381-0512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 504-025) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-02-29 |