| NPI | 1932454279 |
|---|---|
| Doing Business As | GERARDO PEREZ SINGLE MEMBER |
| Entity Type | Organization |
| Authorized Contact | GERARDO PEREZ ESPINDOLA Owner/Provider 414-719-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 016005265) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: WI 91125) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-11-10 |