| NPI | 1962756270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KOKAT D.P.M. 262-763-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 924-25) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-10-04 |