| NPI | 1861577876 |
|---|---|
| Doing Business As | DEVRIES FOOT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENN F DEVRIES Owner 920-324-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 467) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-10-21 |