| NPI | 1982789210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M FOSTER Office Manager 262-695-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 794025) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-08-13 |