| NPI | 1972716272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NICHOLAS CZARNECKI Podiatrist 262-242-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 025-519) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-04-22 |